Individual
CAROL JEAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 DIEHL DR, MCKEESPORT, PA 15132-7415
(412) 952-4037
Mailing address
402 DIEHL DR, MCKEESPORT, PA 15132-7415
(412) 952-4037
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136918
PA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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