TINA M CLARK

SHAWNEE, KS
NPI1598363665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KS  3663)
Enumeration Date2020-10-12
Last Update Date2020-10-12
Business Address
TINA M CLARK LSCSW
7150 MILLBROOK ST
SHAWNEE, KS 66218-9235
Phone number: 913-522-8548
Mailing Address
TINA M CLARK LSCSW
7150 MILLBROOK ST
SHAWNEE, KS 66218-9235
Phone number: 913-522-8548