Individual
CIERRA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 J N PEASE PL, CHARLOTTE, NC 28262-4554
(704) 334-3170
Mailing address
231 AMBERLEIGH DR APT 307, WILMINGTON, NC 28411-8017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
017365
NC
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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