Individual
LIESEL ELIZABETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 W 7TH STREET, SUITE 500, FREDERICK, MD 21701
(301) 345-1022
(301) 560-5558
Mailing address
5820 YORK ROAD, SUITE 202, BALTIMORE, MD 21212
(301) 345-1022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33901
MD
Other
Enumeration date
04/17/2025
Last updated
11/12/2025
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