Individual
SYANDENE LEOLA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4047 NORTHRIDGE WAY APT 8, NORCROSS, GA 30093-3073
(954) 800-3433
Mailing address
4160 LOGAN DR UNIT 2195, LOGANVILLE, GA 30052-9524
(954) 800-3433
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011176
GA
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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