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Individual

TARRELL CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
1127 ROUTE 47 S STE 9, RIO GRANDE, NJ 08242-1609
(609) 486-2003
Mailing address
1127 ROUTE 47 S STE 9, RIO GRANDE, NJ 08242-1609
(609) 486-2003

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07288000
NJ

Other

Enumeration date
01/12/2026
Last updated
01/12/2026
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