REGINA COLLETTE CLARK

CLARKSVILLE, TN
NPI1477154805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TN  12746)
Enumeration Date2020-11-03
Last Update Date2020-11-03
Business Address
Mrs. REGINA COLLETTE CLARK LMSW
1989 MADISON ST
CLARKSVILLE, TN 37043-5067
Phone number: 931-408-9909
Mailing Address
Mrs. REGINA COLLETTE CLARK LMSW
202 EAGLES TALON CT
CLARKSVILLE, TN 37040-1481
Phone number: 706-664-7601