Tina Elizabeth Clark, LCSW
Social Worker, Clinical in Torrance, CA. Individual provider (NPI-1).
NPI number1164078069
StatusActive
Last updated in NPPESAug 15, 2019
Details
- NPI
- 1164078069
- Entity type
- Individual (NPI-1)
- Name
- Tina Elizabeth Clark
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2019
- Last updated
- Aug 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 21939 | CA | Yes |
Practice location
23700 Camino Del SolTorrance, CA 90505-5000
Phone 310-530-1151 · Fax 310-534-0473
Mailing address
23700 Camino Del SolTorrance, CA 90505-5000
Phone 310-530-1151 · Fax 310-534-0473
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