Individual
CHERIE L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1020 SAINT ANDREW ST, NEW ORLEANS, LA 70130-5022
(504) 529-5558
(504) 529-3235
Mailing address
P.O. BOX 4148, NEW ORLEANS, LA 70178-4148
(504) 529-5558
(504) 529-3235
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3503
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295757326
GROUP NPI
LA
Enumeration date
09/29/2009
Last updated
11/17/2011
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