Individual
MR. JUSTIN ALLAN HOPKINS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
8555 MCKINLEY ST APT Q458, MERRILLVILLE, IN 46410-8817
(219) 331-8509
Mailing address
8555 MCKINLEY ST APT Q458, MERRILLVILLE, IN 46410-8817
(219) 331-8509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009992A
IN
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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