Individual
CHRISTINE M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
38 SOUTHMONT DR, TUSCALOOSA, AL 35405-4162
(205) 614-0415
Mailing address
38 SOUTHMONT DR, TUSCALOOSA, AL 35405-4162
(205) 614-0415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1757C
AL
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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