Individual
MS. GLENELYN ROGERS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1211 21ST AVE S, NASHVILLE, TN 37212-2717
(615) 936-1327
Mailing address
581 PLOUGHMANS BEND DR, FRANKLIN, TN 37064-4203
(615) 595-2640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000001008
TN
Other
Enumeration date
10/15/2007
Last updated
10/30/2020
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