Vivian Hollins Clark LCSW

NPI 1023439015 - Social Worker - 1041C0700X

NPI Details
NPI 1023439015
Gender Female
Enumeration Date 12/18/2013
Last Updated 12/18/2013
Entity Type Individual
Active Over 2 years ago
Practice Location
2927 EBBTIDE DR
HOUSTON TX, 77045-4711, US
Phone (832) 722-6893
Fax (832) 825-0134
Business Location
2927 EBBTIDE DR
HOUSTON TX, 77045-4711, US
Phone (832) 722-6893
Fax (832) 825-0134
Toxanomy
Taxonomy Code 1041C0700X
License State Texas
License Number 39666
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According to our database, Vivian Hollins Clark LCSW NPI is 1023439015, taxonomy code is 1041C0700X and license number is 39666, license state is located at Texas. Vivian Hollins Clark LCSW physically located at 2927 Ebbtide Dr, Houston TX, 77045-4711. NPI Number Vivian Hollins Clark LCSW has the Individual type.

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1023439015 NPI number is provided on an as is basis without warranty of any kind. 1023439015 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Hollins Clark LCSW are for informational purposes only.