Individual
EMILY ELISABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8404 SIEAR TER, INDIANAPOLIS, IN 46227-7215
(417) 761-5214
Mailing address
8404 SIEAR TER, INDIANAPOLIS, IN 46227-7215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011571A
IN
Other
Enumeration date
11/20/2024
Last updated
01/07/2026
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