Individual
RACHEL CLAIRE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.W
Contact information
Practice address
206 REILY STREET, HARRISBURG, PA 17102
(413) 824-1620
Mailing address
206 REILY ST, HARRISBURG, PA 17102-2545
(413) 824-1620
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW131980
PA
Other
Enumeration date
01/12/2015
Last updated
02/17/2017
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