Individual
MS. LISA ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1114 S DUPONT HWY, DOVER, DE 19901-4401
(866) 477-5345
Mailing address
1182 WINDROW WAY, MAGNOLIA, DE 19962-3679
(610) 306-1190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001462
DE
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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