Individual
CASSIDY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
115 OAK RD, NORRIS, TN 37828-3051
(865) 351-0621
Mailing address
6535 PINE BLUFF BLVD APT 112, KNOXVILLE, TN 37909-1683
(484) 408-7990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TN
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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