Tasha Clark, MSW

NPI #1992520639 in Granite Falls, Washington

Provider Information

NPI Number: 1992520639
Entity Type: Individual
Name: Tasha Clark, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW
Enumeration Date: Nov 18, 2024
Last Updated: Nov 18, 2024

Practice Location

Address: 17703 OAK ST
City: Granite Falls
State: Washington
ZIP Code: 98252-9037
Phone: (406) 529-3054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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