Individual
MS. JANICE MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2501 CAPEHART ROAD, 55TH MDG, BELLEVUE, NE 68123
(402) 294-3071
Mailing address
602 LOOKING GLASS AVE, OFFUTT AFB, NE 68113-3112
(402) 294-3071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000943
MO
Other
Enumeration date
01/18/2007
Last updated
06/30/2022
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