Individual
MR. CLARK C. CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4208 SIX FORKS RD, BLDG 1, SUITE 305 A, RALEIGH, NC 27609-5735
(800) 632-6074
(866) 341-7512
Mailing address
PO BOX 123, CULLOWHEE, NC 28723-0123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003338
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135P9
BCBS NC
NC
05
—
6003459
—
NC
Enumeration date
07/19/2006
Last updated
11/13/2012
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