Rebekah Ann Clark, LPHA,LCSW

NPI #1093953325 in Moline, Illinois

Provider Information

NPI Number: 1093953325
Entity Type: Individual
Name: Rebekah Ann Clark, LPHA,LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LPHA,LCSW
Enumeration Date: Jan 23, 2009
Last Updated: Jan 20, 2011

Practice Location

Address: 4600 3RD ST
City: Moline
State: Illinois
ZIP Code: 61265-6106
Phone: (309) 779-2031

Specialties & Taxonomy Codes

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

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