NPI 1194091769

Tracey Elizabeth Mallard, LCSW

Practitioner Clinical Social Worker Piggott, AR

Practice location

Address: 111 S 3rd Ave, Piggott, AR 72454-2634
Phone: (870) 598-0306
Fax: (870) 598-0328
Mailing address: 1815 Pleasant Grove Rd, Jonesboro, AR 72401-7870

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6850-C (AR)

Other Social Worker providers in Arkansas →

Registry record

NPI: 1194091769
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2012
Record last updated: 9 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.