Individual
MS. DAWN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
1575 CARSLEY RD, JACKSON, MS 39209-9227
(601) 940-1818
(601) 376-2639
Mailing address
1575 CARSLEY RD, JACKSON, MS 39209-9227
(601) 940-1818
(601) 376-2639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C2138
MS
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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