Jennifer Clark, LICSW

NPI #1053444331 in Malden, Massachusetts

Provider Information

NPI Number: 1053444331
Entity Type: Individual
Name: Jennifer Clark, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Mar 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6 PLEASANT ST
Address 2: 6TH FLOOR
City: Malden
State: Massachusetts
ZIP Code: 02148-5100
Phone: (781) 322-1503

Specialties & Taxonomy Codes

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

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