Individual
EBONY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
60 O ST NW, WASHINGTON, DC 20001-1259
(202) 797-8806
Mailing address
60 O ST NW, WASHINGTON, DC 20001-1259
(202) 797-8806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50081242
DC
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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