Individual
MS. LEAH JEAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
910 NE 5TH ST, ANKENY, IA 50021-4721
(319) 239-8831
Mailing address
910 NE 5TH ST, ANKENY, IA 50021-4721
(319) 239-8831
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06723
IA
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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