Individual
ANNA L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2535 E SOUTHLAKE BLVD STE 220, SOUTHLAKE, TX 76092-6629
(817) 913-6580
Mailing address
4712 KINDRED ST, HALTOM CITY, TX 76117-4105
(817) 913-6580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
64366
TX
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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