Individual
BRENDA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10715 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2674
(540) 339-3640
Mailing address
10715 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2674
(540) 339-3640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904020168
VA
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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