Individual
MS. CLAUDIA NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 WEST 125TH STREET, FRONT 1 - 1201, NEW YORK, NY 10027
(646) 481-9592
Mailing address
105 WEST 125TH STREET, FRONT 1 - 1201, NEW YORK, NY 10027
(646) 481-9592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115665
NY
Other
Enumeration date
02/24/2022
Last updated
11/10/2022
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