Individual
MRS. CARSON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1 GUSTAVE L. LEVY PL, NEW YORK, NY 10029
(212) 241-7748
Mailing address
217 EAST 87TH ST, 4TH FLOOR/P.O. BOX 656, NEW YORK, NY 10128
(212) 876-7427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120607
NY
104100000X
Social Worker
—
—
Other
Enumeration date
06/29/2023
Last updated
09/27/2023
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