Individual
MRS. THEWANA LAKESHA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3558 HAWKS CREEK DR, APISON, TN 37302-6000
(423) 987-5636
Mailing address
3558 HAWKS CREEK DR, APISON, TN 37302-6000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000005413
TN
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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