Individual
IMANI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
10201 S CICERO AVE STE F, OAK LAWN, IL 60453-4098
(708) 358-6937
(708) 232-8993
Mailing address
9343 S LOOMIS ST, CHICAGO, IL 60620-3614
(773) 979-1347
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
Primary
150.109143
IL
Other
Enumeration date
08/05/2026
Last updated
08/10/2026
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