Individual
MS. LYNN DAVIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5505 JOHN ESKEW BLVD, ALEXANDRIA, LA 71303-3725
(318) 767-0651
(318) 767-0652
Mailing address
5505 JOHN ESKEW BLVD, ALEXANDRIA, LA 71303-3725
(318) 767-0651
(318) 767-0652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3724
LA
1041C0700X
Clinical Social Worker
Primary
3724
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188999
—
LA
Enumeration date
08/29/2006
Last updated
11/20/2016
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