Individual
CIERRA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
729 S WALNUT ST, MARYSVILLE, OH 43040-1643
(937) 642-9555
Mailing address
729 S WALNUT ST, MARYSVILLE, OH 43040-1643
(937) 642-9555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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