Individual
BECKY SUE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1635 POND VIEW CT, SHERIDAN, WY 82801-6719
(207) 590-8477
(207) 518-9589
Mailing address
1635 POND VIEW CT, SHERIDAN, WY 82801-6719
(207) 590-8477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-992
WY
Other
Enumeration date
03/27/2006
Last updated
04/04/2016
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