Individual
CHRISTINA ANNA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
US HWY 160 & NAVAJO ROUTE 35, TEECNOSPOS, AZ 86514
(928) 656-5000
Mailing address
HC 61 BOX 30, TEEC NOS POS, AZ 86514-9600
(928) 656-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC18255
ME
Other
Enumeration date
08/17/2009
Last updated
01/24/2023
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