Individual
NICHOLAS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
690 EDISON WAY, RENO, NV 89502-4100
(775) 858-3303
Mailing address
2445 BENTLEY DR, RENO, NV 89523-2847
(775) 997-9629
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6690-S
NV
1041C0700X
Clinical Social Worker
Primary
IC-853
NV
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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