Individual
MRS. AISHA L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 636-7660
Mailing address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 636-7660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
14894
MD
1041C0700X
Clinical Social Worker
Primary
LC50078345
DC
Other
Enumeration date
12/14/2009
Last updated
06/26/2014
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