Individual
JENNIFER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2234 E 49TH AVE, SPOKANE, WA 99223-6515
(925) 323-0703
Mailing address
2234 E 49TH AVE, SPOKANE, WA 99223-6515
(925) 323-0703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61151501
WA
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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