Individual
CYNTHIA L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
115 PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6340
(719) 447-4791
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09924389
CO
Other
Enumeration date
02/22/2007
Last updated
08/15/2016
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