Judith L Clark, L.I.S.W.

NPI #1003928466 in Chillicothe, Ohio

Provider Information

NPI Number: 1003928466
Entity Type: Individual
Name: Judith L Clark, L.I.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: L.I.S.W.
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 17273 STATE ROUTE 104
City: Chillicothe
State: Ohio
ZIP Code: 45601-8608
Phone: (740) 773-1141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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