Individual
OLIVIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 BROOKRIDGE VILLAGE BLVD STE 104, LOUISVILLE, KY 40291-4474
(502) 785-4322
Mailing address
1038 FRONTIER TRL, GREENVILLE, IN 47124-8616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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