MS. Virginia C Clark, PHD, LCSW, RN, CAP

NPI #1073607552 in Ocala, Florida

Provider Information

NPI Number: 1073607552
Entity Type: Individual
Name: MS. Virginia C Clark, PHD, LCSW, RN, CAP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: PHD, LCSW, RN, CAP
Enumeration Date: Oct 2, 2006
Last Updated: Sep 28, 2012

Practice Location

Address: 4326 SW 142ND STREET RD
City: Ocala
State: Florida
ZIP Code: 34473-5637
Phone: (352) 233-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Registered Nurse	163W00000X

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