Individual
MRS. CLARICE ANN MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1432
ND
1041C0700X
Clinical Social Worker
Primary
1432
ND
Other
Enumeration date
05/23/2007
Last updated
11/12/2024
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