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Tina Clark, LSCSW

NPI 1598363665 · on the registry since 2020 · sole proprietor

Practice

Address
7150 Millbrook St
Shawnee, KS 66218
Phone
(913) 522-8548

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas