Individual
HAYLA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
2233 ROCKY LN, ASHLAND, OH 44805-4701
(192) 813-7164
(419) 281-4605
Mailing address
2233 ROCKY LN, ASHLAND, OH 44805-4701
(419) 281-3716
(419) 281-4605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1303000
OH
1041C0700X
Clinical Social Worker
Primary
I.1800803
OH
Other
Enumeration date
09/18/2016
Last updated
04/07/2021
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