Individual
MRS. SANDRA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2386 CLOWER ST, SUITE 201, SNELLVILLE, GA 30078-6134
(404) 276-2310
(770) 860-8315
Mailing address
2386 CLOWER ST, SUITE 201, SNELLVILLE, GA 30078-6134
(404) 276-2310
(770) 860-8315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002450
GA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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