Individual
MARTHA ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022045982
MO
Other
Enumeration date
06/30/2020
Last updated
04/25/2025
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