Individual
BETHANY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 VICTOR ST, HIGHLAND PARK, MI 48203-3129
(313) 252-1950
Mailing address
95 VICTOR ST, HIGHLAND PARK, MI 48203-3129
(313) 252-1950
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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