Individual
MR. BLAINE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
7300 CALHOUN PL, SUITE 600, ROCKVILLE, MD 20855-2790
(240) 777-4664
Mailing address
7300 CALHOUN PL, SUITE 600, ROCKVILLE, MD 20855-2790
(240) 777-4664
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07476
MD
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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