Individual
LEAN V CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
23B KOOLIDGE CT, SOMERSET, NJ 08873-6501
(732) 543-5652
Mailing address
4122 COUNTY ROAD 516, MATAWAN, NJ 07747-7031
(732) 679-4500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06778100
NJ
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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