Organization
KATE CLARK, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN CLARK LCSW (CLINICIAN)
(919) 630-2737
Entity
Organization
Contact information
Practice address
31 MASSACHUSETTS AVE, PORTLAND, ME 04102-2513
(919) 630-2737
Mailing address
31 MASSACHUSETTS AVE, PORTLAND, ME 04102-2513
(919) 630-2737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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