Individual
TINA DENICE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2712 E JOHNSON AVE, JONESBORO, AR 72405-1874
(870) 932-2800
(870) 932-1189
Mailing address
2712 E JOHNSON AVE, JONESBORO, AR 72405-1874
(870) 932-2800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
AR
1041C0700X
Clinical Social Worker
Primary
7038-C
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/03/2013
Last updated
08/05/2025
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