Individual
AUDREL L CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2 PARK AVE, HOPE CENTER, YONKERS, NY 10703-3402
(914) 964-7361
(914) 964-7321
Mailing address
1185 ANDERSON AVE, APT. 5D, BRONX, NY 10452-3808
(914) 964-7361
(914) 964-7321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13326
NY
104100000X
Social Worker
070331-1
NY
1041C0700X
Clinical Social Worker
Primary
081551
NY
Other
Enumeration date
01/10/2012
Last updated
12/01/2020
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