Individual
MR. DUSTIN SCOTT MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
105 OTIS SMITH DR, CLARKSVILLE, TN 37043-8940
(931) 320-9213
Mailing address
3007 TIMBERDALE DR, CLARKSVILLE, TN 37042-8855
(712) 212-2476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9238
TN
Other
Enumeration date
08/21/2024
Last updated
08/25/2025
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