Individual
CATHERINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
18 LEWIS AVE, GREAT BARRINGTON, MA 01230-1722
(413) 528-4632
Mailing address
18 LEWIS AVE, GREAT BARRINGTON, MA 01230-1722
(413) 528-4632
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1025026-1
MA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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