Individual
COLTON LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502-8339
(301) 777-2405
(301) 777-0057
Mailing address
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502-8339
(301) 777-2405
(301) 777-0057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30212
MD
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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