Jessica Clark, LICSW
NPI #1154610269 in Riverside, Rhode Island
Provider Information
- NPI Number
- 1154610269
- Entity Type
- Individual
- Name
- Jessica Clark, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Mar 30, 2011
- Last Updated
- Sep 3, 2013
Practice Location
- Address
- 55 FLOYD AVE
- City
- Riverside
- State
- Rhode Island
- ZIP Code
- 02915-2927
- Phone
- (401) 743-5313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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