Individual
MRS. LISA M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
4955 S ALMA SCHOOL RD STE 10, CHANDLER, AZ 85248-5639
(480) 382-7810
Mailing address
PO BOX 637, HIGLEY, AZ 85236-0637
(480) 382-7810
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-5810T
AZ
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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