DONNA CLARK

COTTONWOOD, AZ
NPI1730637109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  LCSW-2322)
Enumeration Date2016-09-14
Last Update Date2016-09-14
Business Address
-- DONNA CLARK LCSW
294 W STATE ROUTE 89A
COTTONWOOD, AZ 86326-3754
Phone number: 928-639-5580
Mailing Address
-- DONNA CLARK LCSW
1200 N BEAVER ST PAYER CREDENTIALING
FLAGSTAFF, AZ 86001-3118
Phone number: 928-213-6235
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