Individual
BRITTANY M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
211 J.B. WISE PLAZA, WATERTOWN, NY 13601
(315) 782-7445
(315) 779-1184
Mailing address
PO BOX 6550, WATERTOWN, NY 13601-6550
(315) 788-7430
(315) 785-5637
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
090443
NY
1041C0700X
Clinical Social Worker
Primary
090219
NY
Other
Enumeration date
04/02/2015
Last updated
10/15/2020
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