Individual
LENIQUE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
45 COMM PARK LANE, ANGIER, NC 27501-5490
(919) 331-2013
(919) 331-2015
Mailing address
PO BOX 6331, CONCORD, NC 28027-1523
(704) 784-0753
(704) 720-0670
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P006875
NC
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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