Individual
HANNAH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-9372
(614) 722-9376
Mailing address
222 FREBIS AVE, COLUMBUS, OH 43206-3638
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1600484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
12/05/2017
Last updated
03/09/2018
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