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Organization

HELEN Y CLARK COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HELEN YOLANDA CLARK PHD (PRESIDENT/OWNER)
(843) 761-5707
Entity
Organization

Contact information

Practice address
223 1ST ST, MONCKS CORNER, SC 29461-3726
(843) 761-5707
(843) 899-2184
Mailing address
223 1ST ST, MONCKS CORNER, SC 29461-3726
(843) 761-5707
(843) 899-2184

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2212
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
QM0260
SC
Enumeration date
07/17/2013
Last updated
07/17/2013
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