Individual
AMY BETH CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW, MSSW
Contact information
Practice address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-6533
Mailing address
1201 E 9TH ST, BONHAM, TX 75418-4059
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22509
TX
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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