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Individual

LAUREN E CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3155 MILL ST NE, COVINGTON, GA 30014-2542
(678) 712-6520
(678) 712-6521
Mailing address
3155 MILL ST NE, COVINGTON, GA 30014-2542
(678) 712-6520
(678) 712-6521

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/22/2019
Last updated
07/22/2019
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