Individual
COURTNEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 MAPLE ST, SCRANTON, PA 18505-2707
(570) 687-1033
Mailing address
1509 MAPLE ST, SCRANTON, PA 18505-2707
(570) 687-1033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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