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1396754370
LISA L CLARK
CORDOVA, TN
NPI
1396754370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TN HSP-1188)
Enumeration Date
2006-08-07
Last Update Date
2007-07-08
Business Address
Dr. LISA L CLARK Ph.D.
8134 COUNTRY VILLAGE DR #102
CORDOVA, TN 38016
Phone number: 901-756-8398
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Mailing Address
Dr. LISA L CLARK Ph.D.
PO BOX 341065
MEMPHIS, TN 38184-1065
Phone number: 901-385-2342
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