Individual
SIERRA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(267) 320-4051
Mailing address
577 ROYDEN ST, CAMDEN, NJ 08103-1345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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