Individual
LISHEENA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5515 SHELBY OAKS DR, MEMPHIS, TN 38134-7316
(901) 252-7600
Mailing address
5922 GREEN DR APT 4, MEMPHIS, TN 38115-2134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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