Individual
RACHEL E CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
3809 W GRAND AVE, CHICAGO, IL 60651
(773) 276-0200
(773) 276-4226
Mailing address
3809 W GRAND AVE, CHICAGO, IL 60651
(773) 276-0200
(773) 276-4226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150101479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10003232034
—
IL
05
—
1588013312
—
IL
Enumeration date
04/21/2017
Last updated
04/21/2017
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