Individual
BETSY GRIFFEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1165 MCKEE FARM LN, BELMONT, NC 28012-8671
(704) 771-2307
Mailing address
708 MABLE AVE, KANNAPOLIS, NC 28083-3785
(704) 925-1886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002789
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
776
BOARD OF ONCOLOGY SOCIAL WORK CERTIFICATION
—
01
—
C002789
NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD
NC
Enumeration date
08/04/2017
Last updated
08/04/2017
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