Individual
JOAN MARIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1603 STEVENS AVE, LOUISVILLE, KY 40205-1087
(502) 451-5955
(502) 451-5925
Mailing address
1919 CAMPUS PLACE, LOUISVILLE, KY 40299
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1444
KY
101YM0800X
Mental Health Counselor
34004222A
IN
Other
Enumeration date
12/04/2006
Last updated
12/20/2024
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