Individual
TRACY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8700 E VISTA BONITA DR, SCOTTSDALE, AZ 85255-4251
(575) 770-8519
Mailing address
217 BROOKRIDGE CT, HARRISBURG, PA 17112-9335
(575) 770-8519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-22086
AZ
Other
Enumeration date
03/05/2021
Last updated
07/30/2024
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