Most Relevant Information
Provider Data
| NPI Number: | 1003232141 |
| Provider Name: | STEPHEN PEAIRSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/13/2014 |
| Last Updated: | 11/06/2018 |
Provider Practice Location
110 PEARSON
BENTON
AR
72015
Practice Location Phone/Fax
| Phone: | 5013154224 |
| Fax: | 5017780450 |
Provider Mailing Location
110 PEARSON
BENTON
AR
720154436
Provider Mailing Phone/Fax
| Phone: | 5013154224 |
| Fax: | 5017780450 |