Individual
MS. CAITLIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4C NORTH AVE STE 423, BEL AIR, MD 21014-2334
(410) 370-8637
Mailing address
1309 CRANESBILL CT APT 302, BELCAMP, MD 21017-2422
(410) 776-5142
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24787
MD
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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