Individual
MR. CLARK VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1007 W MITCHELL ST, SUITE 102, ARLINGTON, TX 76013-2508
(817) 461-6183
(817) 265-7433
Mailing address
972 MEADOW OAKS DR, ARLINGTON, TX 76010-1928
(817) 313-0742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R69233
SEVERAL MNGED CARE CO.'S
TX
Enumeration date
08/04/2006
Last updated
07/08/2007
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