Individual
MS. VICKI LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2209
(563) 332-8528
Mailing address
428 RTE 2, DIXON, IL 61021-9121
(630) 696-6900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.018370
IL
1041C0700X
Clinical Social Worker
Primary
1923-C
AR
Other
Enumeration date
08/18/2006
Last updated
03/24/2016
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