Individual
TAMI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4106 W 6TH ST STE D, LAWRENCE, KS 66049-4625
(785) 550-5380
(785) 550-5380
Mailing address
4106 W 6TH ST STE D, LAWRENCE, KS 66049-4625
(785) 550-5380
(785) 550-5380
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13815
BSRB
KS
Enumeration date
07/24/2024
Last updated
03/09/2026
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