Individual
MS. CLEMMIE S CLARKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
WOMACK ARMY MEDICAL CENTER, RILEY RD., FORT BRAGG, NC 28310-0001
(910) 907-9647
Mailing address
444 MCBAIN DR, FAYETTEVILLE, NC 28305-5181
(910) 486-8165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C003577
NC
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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