Individual
CAROLYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4150 EARHART BLVD, NEW ORLEANS, LA 70125-1955
(504) 522-4475
Mailing address
4150 EARHART BLVD, NEW ORLEANS, LA 70125-1955
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14721
LA
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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