Individual
SUSAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
51 STREET OF DREAMS, MARTINSBURG, WV 25403-1134
(304) 264-1442
Mailing address
34 CLOUSER CT, MARTINSBURG, WV 25405-7581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00945123
WV
Other
Enumeration date
04/14/2019
Last updated
04/14/2019
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