Individual
TAMMY DENTON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1016 MT HIGHWAY 200, NOXON, MT 59853-9745
(406) 253-0864
Mailing address
PO BOX 185, HERON, MT 59844-0185
(406) 253-0864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
878
MT
Other
Enumeration date
02/22/2007
Last updated
10/08/2012
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