Individual
STEPHANIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP; P-MSW
Contact information
Practice address
11550 I ST, SUITE 100, OMAHA, NE 68137-1262
(402) 498-4700
(402) 493-3340
Mailing address
11550 I ST, SUITE 100, OMAHA, NE 68137-1262
(402) 498-4700
(402) 493-3340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10810
NE
1041C0700X
Clinical Social Worker
7049
NE
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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