Individual
CAROL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
3125 POPLARWOOD CT, RALEIGH, NC 27604-1084
(919) 790-8580
Mailing address
3125 POPLARWOOD CT, RALEIGH, NC 27604-1084
(919) 790-8580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P010183
NC
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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