Individual
LYNDSAY COGDILL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, PIP
Contact information
Practice address
636 RIDGE TOP CIR, BIRMINGHAM, AL 35206-1626
(863) 712-0765
Mailing address
636 RIDGE TOP CIR, BIRMINGHAM, AL 35206-1626
(863) 712-0765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3783C
AL
Other
Enumeration date
11/12/2020
Last updated
05/02/2022
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