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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY L BAXLEY TULLOS, LCSW

Active

Clinical Social Worker · RUSSELLVILLE, AR

Registration Details

NPI Number
1124120712
Provider Type
Individual
Gender
Female
NPI Issued
Sep 2, 2006 (19.662095608236 yrs)
Last Updated
May 5, 2015
License
2041C (AR)

Practice Information

Address
3106 W 2ND CT
SUITE 1
RUSSELLVILLE, AR, 728014503
Browse AR providers · Browse ZIP 72801
Phone
4798805100
Fax
4798805297
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in RUSSELLVILLE, AR

Name Credential NPI
MR. JON LUNDQUIST L.C.S.W. 1962481010
CHRISTINE P GUSTUS MSW/LCSW 1770686750
AUDRA RENAE HATCHETT LCSW 1093804106
TESSA RIFFELL LCSW 1043309131
BRANDI LEIGH ROGERS LCSW 1316005408
MRS. ANNE A. KEENAN LCSW 1538299045
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.