NPI 1003466947

Eva-Sophia Clark, MALCSWLCDCEMDR

Practitioner Social Worker Denton, TX

Practice location

Address: 501 S Carroll Blvd STE 203, Denton, TX 76201-7423
Phone: (682) 299-9406
Mailing address: 12650 N Beach St STE 114, Fort Worth, TX 76244-4245

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 66542 (TX)

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Registry record

NPI: 1003466947
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2019
Record last updated: 21 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.