Individual
MS. CAROLYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3251 MOUNT PLEASANT ST NW FL 3, WASHINGTON, DC 20010-2103
(571) 308-8217
Mailing address
3251 MOUNT PLEASANT ST NW FL 3, WASHINGTON, DC 20010-2103
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LG50082969
DC
1041C0700X
Clinical Social Worker
Primary
LC200001366
DC
Other
Enumeration date
01/29/2020
Last updated
03/16/2023
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