Individual
MS. CHERYL BETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
431 GROVE ST N, SUITE E, DAHLONEGA, GA 30533-0437
(706) 867-6798
(706) 867-0265
Mailing address
431 GROVE ST N, SUITE E, DAHLONEGA, GA 30533-0437
(706) 867-6798
(706) 867-0265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002197
GA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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