Search › Texas › 1041C0700X
Susan Clark, LCSW-S
NPI 1881754109 · on the registry since 2006
Practice
- Address
- 1650 W Magnolia Ave
208
Ft Worth, TX 76104 - Phone
- (817) 912-8006
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas