Individual
JAVANA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4303 FORBES BLVD, LANHAM, MD 20706-4333
(443) 438-6742
Mailing address
1900 N HOWARD ST # 300, BALTIMORE, MD 21218-5909
(443) 438-6742
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30334
MD
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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