Individual
CORTNEY CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1 BETHANY RD STE 92, HAZLET, NJ 07730-1669
(732) 655-4558
Mailing address
1 BETHANY RD STE 92, HAZLET, NJ 07730-1669
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05935500
NJ
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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