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Individual

CHRISTINA ALVENIA CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3845 HOLSTON COLLEGE RD, LOUISVILLE, TN 37777-3105
(865) 524-5757
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 647-9711

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
TN
101Y00000X
Counselor

Other

Enumeration date
07/26/2022
Last updated
07/26/2022
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