Individual
DORIAN M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8967 YELLOW BRICK RD, ROSEDALE, MD 21237-2303
(443) 317-9670
Mailing address
8967 YELLOW BRICK RD, ROSEDALE, MD 21237-2303
(433) 317-9670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22315
MD
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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