Individual
NIKKIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
16 EVENTIDE DR, SIMPSONVILLE, SC 29681-7133
(864) 934-1509
Mailing address
16 EVENTIDE DR, SIMPSONVILLE, SC 29681-7133
(864) 934-1509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10762
SC
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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