Individual
MS. KATHLEEN MAFFETT CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1250 E BASELINE RD, SUITE 105, TEMPE, AZ 85283-1404
(480) 228-8933
Mailing address
1250 E BASELINE RD, SUITE 105, TEMPE, AZ 85283-1404
(480) 228-8933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11044
AZ
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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