Individual
CARLTON FREDERIC CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9095 E TANQUE VERDE RD UNIT 171-322, TUCSON, AZ 85749-8821
(520) 519-8475
Mailing address
PO BOX 31454, TUCSON, AZ 85751-1454
(520) 519-8475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-0011
AZ
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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