Individual
JENNIFER MICHELLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
22 NORVA AVE, FREDERICK, MD 21701-6279
(301) 659-7680
Mailing address
22 NORVA AVE, FREDERICK, MD 21701-6279
(301) 659-7680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22854
MD
Other
Enumeration date
06/04/2020
Last updated
11/27/2023
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