Individual
LATRECE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6043 W INTERSTATE 20, ARLINGTON, TX 76017-1042
(817) 533-0825
(817) 953-8899
Mailing address
6043 W INTERSTATE 20, ARLINGTON, TX 76017-1042
(817) 533-0825
(817) 953-8899
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
70305
TX
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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