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Individual

EDNA KATHLEEN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1415 OLD WEISGARBER RD STE 360, KNOXVILLE, TN 37909-1381
(865) 588-3173
(865) 588-3174
Mailing address
1415 OLD WEISGARBER RD STE 360, KNOXVILLE, TN 37909-1381
(865) 588-3173
(865) 588-3174

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7829
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08258
OH
Enumeration date
06/20/2008
Last updated
01/08/2026
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