Individual
MS. MARY CATHERINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 RIVER AVE, EUGENE, OR 97404-2507
(541) 345-5395
Mailing address
1852 HAPPY LN, #20, EUGENE, OR 97401-1847
(541) 852-1733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5899
OR
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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