Individual
LISA HAMILTON-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1424 S PORTLAND AVE, GILBERT, AZ 85296-8955
(602) 301-2338
Mailing address
1424 S PORTLAND AVE, GILBERT, AZ 85296-8955
(602) 301-2338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-13674
MN
Other
Enumeration date
07/20/2016
Last updated
10/03/2022
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