Teresa Clark, LCSW, QS

NPI 1699939686 · on the registry since 2008 · sole proprietor

Practice

Address: 113 Lielmanis Ave
Hurlburt Field, FL 32544
Phone: (850) 884-2147
Organisation at this address: Hurlburt Main Phcy
1st Spcl Ops Medgrp-Hurlburt
1st Spcl Ops Medgrp-Hurlburt
Hurlburt Call-In Refills Phcy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 190

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-12-26

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 Florida