Individual
CLAUDIA PENNY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
610 S BURDICK ST, KALAMAZOO, MI 49007-5221
(269) 381-3700
(269) 381-3810
Mailing address
610 S BURDICK ST, KALAMAZOO, MI 49007-5221
(269) 381-3700
(269) 381-3810
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802046133
MI
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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