Individual
MRS. LINDA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
608 N 5TH PL, ELDRIDGE, IA 52748-1175
(563) 320-0232
Mailing address
608 N 5TH PL, ELDRIDGE, IA 52748-1175
(563) 320-0232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150008091
IL
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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