Individual
MRS. KELLY M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LSW
Contact information
Practice address
1375 E WOODFIELD RD STE 220, SCHAUMBURG, IL 60173-6068
(847) 338-3850
Mailing address
10168 HANOVER AVE, HUNTLEY, IL 60142-8160
(847) 338-3850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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