Individual
CHARITY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2622 KINGS CT, TERRE HAUTE, IN 47802-3359
(217) 251-2601
Mailing address
5101 E US HIGHWAY 36 STE 100, AVON, IN 46123-6646
(888) 714-1927
(317) 745-9565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009582A
IN
Other
Enumeration date
05/26/2019
Last updated
04/26/2023
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