MRS. Teresa Clark, LCSW, QS
NPI #1699939686 in Hurlburt Field, Florida
Provider Information
- NPI Number
- 1699939686
- Entity Type
- Individual
- Name
- MRS. Teresa Clark, LCSW, QS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, QS
- Enumeration Date
- Jul 18, 2008
- Last Updated
- Dec 26, 2023
Practice Location
- Address
- 113 LIELMANIS AVE
- City
- Hurlburt Field
- State
- Florida
- ZIP Code
- 32544-5613
- Phone
- (850) 884-2147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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