Individual
MRS. CYNTHIA LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, ACSW
Contact information
Practice address
727 E MITCHELL ST, KENDALLVILLE, IN 46755-1830
(260) 347-7850
(260) 349-1355
Mailing address
727 E MITCHELL ST, KENDALLVILLE, IN 46755-1830
(260) 347-7850
(260) 349-1355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001900A
IN
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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