Individual
CLAUDIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3 KAMPMAN CT, SPARKS, MD 21152-9423
(410) 207-8886
Mailing address
3 KAMPMAN CT, SPARKS, MD 21152-9423
(410) 207-8886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
XL4810
ME
101YP2500X
Professional Counselor
Primary
LC11081
MD
Other
Enumeration date
01/18/2017
Last updated
01/23/2025
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