Individual
ABIGAIL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 W 6TH ST STE 402, LOS ANGELES, CA 90020-5112
(213) 365-7400
Mailing address
3727 W 6TH ST STE 402, LOS ANGELES, CA 90020-5112
(213) 365-7400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
01/17/2023
Last updated
05/10/2023
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