DETRA TONEY CLARK, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1689700254
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | - |
Frequently Asked Questions
NPI 1689700254 is the National Provider Identifier for DETRA TONEY CLARK, LCSW, a Social Worker - Clinical provider located in Conway, AR. This NPI was enumerated on February 26, 2007.
DETRA TONEY CLARK, LCSW practices at 350 SALEM ROAD, SUITE 1, Conway, AR 72034.
Quick Facts
- NPI
- 1689700254
- Type
- Individual
- Enumerated
- Feb 26, 2007
- Last Updated
- Jul 11, 2013
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