Organization
COURTNEY L CLARK ,LCMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRY SWAYZE (BILLING MANAGER)
(316) 944-3940
Entity
Organization
Contact information
Practice address
920 N ROCK RD, DERBY, KS 67037-3552
(316) 788-8510
(316) 788-8543
Mailing address
920 N ROCK RD, DERBY, KS 67037-3552
(316) 788-8510
(316) 788-8543
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
328
KS
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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