MRS. KIM CLARK, L.I.C.S.W.

Social Worker - Clinical

Active Individual
NPI: 1508074311

Practice Address

226 LEONARD RD
South Royalton, VT 05068

Phone: (802) 763-8773

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 0890000559 (VT)

Frequently Asked Questions

NPI 1508074311 is the National Provider Identifier for MRS. KIM CLARK, L.I.C.S.W., a Social Worker - Clinical provider located in South Royalton, VT. This NPI was enumerated on May 18, 2007.
MRS. KIM CLARK, L.I.C.S.W. practices at 226 LEONARD RD, South Royalton, VT 05068.

Quick Facts

NPI
1508074311
Type
Individual
Enumerated
May 18, 2007
Last Updated
Jul 9, 2007

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