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Individual

ERIC CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
LCSW

Contact information

Practice address
611 MCDOWELL AVE NW, ROANOKE, VA 24016-1225
(540) 266-9200
Mailing address
301 ELM AVE SW, ROANOKE, VA 24016-4001

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904020854
VA

Other

Enumeration date
08/04/2026
Last updated
08/04/2026
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