KATHRYN CLARK, LCSW

Social Worker - Clinical

Active Individual
NPI: 1164168902

Practice Address

535 OCEAN AVE STE 4
Portland, ME 04103

Phone: (207) 370-5389

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No CAC7797 (ME)
Social Worker - Clinical 1041C0700X Yes MC20209 (ME)

Frequently Asked Questions

NPI 1164168902 is the National Provider Identifier for KATHRYN CLARK, LCSW, a Social Worker - Clinical provider located in Portland, ME. This NPI was enumerated on May 5, 2022.
KATHRYN CLARK, LCSW practices at 535 OCEAN AVE STE 4, Portland, ME 04103.

Quick Facts

NPI
1164168902
Type
Individual
Enumerated
May 5, 2022
Last Updated
Jan 8, 2025

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