Individual
LUCILLE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
1615 POYDRAS ST STE 923, NEW ORLEANS, LA 70112-1254
(504) 777-6871
(504) 617-7813
Mailing address
1615 POYDRAS ST STE 923, NEW ORLEANS, LA 70112-1254
(504) 777-6871
(504) 617-7813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3308
LA
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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