Tracy Tullos Southern Therapy Specialists
NPI #1114394285 in Russellville, Arkansas
Provider Information
- NPI Number
- 1114394285
- Entity Type
- Organization
- Organization Name
- Tracy Tullos Southern Therapy Specialists
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 25, 2015
- Last Updated
- Oct 28, 2015
Practice Location
- Address
- 701 E MAIN ST
- Address 2
- SUITE 2
- City
- Russellville
- State
- Arkansas
- ZIP Code
- 72801-5247
- Phone
- (479) 576-2799
Authorized Official
- Name
- TRACY TULLOS, LCSW
- Title
- OWNER
- Phone
- (479) 576-2799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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