Individual
MRS. PENNY ABEL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPSW
Contact information
Practice address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(615) 935-0534
Mailing address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(615) 935-0534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
L872562
MI
1041C0700X
Clinical Social Worker
Primary
ASW00000105
TN
Other
Enumeration date
01/24/2007
Last updated
08/16/2023
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