CANDACE CLARK
Social Worker - Clinical
Active
Individual
NPI: 1619534203
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | - |
Frequently Asked Questions
NPI 1619534203 is the National Provider Identifier for CANDACE CLARK, a Social Worker - Clinical provider located in Blue Island, IL. This NPI was enumerated on May 20, 2019.
CANDACE CLARK practices at 13136 WESTERN AVE, Blue Island, IL 60406.
Quick Facts
- NPI
- 1619534203
- Type
- Individual
- Enumerated
- May 20, 2019
- Last Updated
- Dec 3, 2021
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