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Individual

RENEE CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2795 MAIN ST W STE 20B, SNELLVILLE, GA 30078-3073
(678) 344-7836
(678) 892-8575
Mailing address
205 CRUSADER PL, FAIRBURN, GA 30213-4339
(404) 449-3121
(678) 892-8575

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/29/2017
Last updated
03/29/2017
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