Individual
AMY M CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 BRIDGE ST, TUNKHANNOCK, PA 18657-1354
(570) 575-2468
(570) 836-0660
Mailing address
130 BRIDGE ST, TUNKHANNOCK, PA 18657-1354
(570) 575-2468
(570) 836-0660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018061
PA
Other
Enumeration date
11/09/2010
Last updated
04/23/2014
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