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Individual

MS. LINDA J. CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
238 N 2ND ST, STE.1, RICHMOND, KY 40475-1484
(859) 623-0925
(859) 625-9984
Mailing address
238 N 2ND ST, STE.1, RICHMOND, KY 40475-1484
(859) 623-0925
(859) 625-9984

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-432
KY
106H00000X
Marriage & Family Therapist
KY-0376
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000042964
ANTHEM
05
82004326
KY
Enumeration date
08/08/2006
Last updated
09/05/2008
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