Individual
LYNNE MARIAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW/LICSW/MFT
Contact information
Practice address
12714 W CRYSTAL LAKE DR, SUN CITY WEST, AZ 85375-2568
(208) 770-0718
Mailing address
12714 W CRYSTAL LAKE DR, SUN CITY WEST, AZ 85375-2568
(208) 770-0718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-35243
ID
1041C0700X
Clinical Social Worker
Primary
LCSW22333
AZ
Other
Enumeration date
08/18/2011
Last updated
10/10/2024
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