Individual
MS. ANITRA M CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
375 ESTUDILLO AVE, STE 207, SAN LEANDRO, CA 94577
(510) 241-2373
(614) 455-1945
Mailing address
375 ESTUDILLO AVE, STE 207, SAN LEANDRO, CA 94577
(510) 241-2373
(614) 455-1945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
26654
CA
1041C0700X
Clinical Social Worker
Primary
LCS26654
CA
Other
Enumeration date
08/09/2006
Last updated
02/11/2022
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