MISS Andrea Mae Clark, MSW, LSW
NPI #1215670369 in Rock Island, Illinois
Provider Information
- NPI Number
- 1215670369
- Entity Type
- Individual
- Name
- MISS Andrea Mae Clark, MSW, LSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- MSW, LSW
- Enumeration Date
- Apr 17, 2022
- Last Updated
- Apr 17, 2022
Practice Location
- Address
- 2701 17TH ST
- City
- Rock Island
- State
- Illinois
- ZIP Code
- 61201-5351
- Phone
- (309) 779-2031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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