Individual
CANDICE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
405 BIGGS ST, LAURINBURG, NC 28352-4109
(191) 061-0444
(910) 610-4434
Mailing address
405 BIGGS ST, LAURINBURG, NC 28352-4109
(191) 061-0444
(910) 610-4434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P010180
NC
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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