Individual
CELEINY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 E ZACK ST STE 110-2322, TAMPA, FL 33602-3972
(813) 308-9339
(813) 563-0511
Mailing address
610 E ZACK ST STE 110-2322, TAMPA, FL 33602-3972
(813) 308-9339
(813) 563-0511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW22758
FL
Other
Enumeration date
03/13/2024
Last updated
01/24/2026
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