Individual
ALICIA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
812 E JOLLY RD STE 114, LANSING, MI 48910-6820
(517) 346-8318
Mailing address
812 E JOLLY RD STE 311, LANSING, MI 48910-6821
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801105889
MI
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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