Individual
ASHA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 CARPENTER DR STE 400, ATLANTA, GA 30328-4933
(678) 460-0345
Mailing address
3304 MORGAN PLACE CT NE, ATLANTA, GA 30324-5441
(502) 303-0468
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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