Mariella E Clark, LCSW

NPI #1245798156 in Lakeside, Texas

Provider Information

NPI Number
1245798156
Entity Type
Individual
Name
Mariella E Clark, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 10, 2019
Last Updated
Dec 15, 2019

Practice Location

Address
121 OAKWOOD CT
State
Texas
ZIP Code
76135-4932
Phone
(817) 779-0850

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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