MISS Susan Gaieen Clark, LCSW
NPI #1275834673 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1275834673
- Entity Type
- Individual
- Name
- MISS Susan Gaieen Clark, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Nov 16, 2010
- Last Updated
- Nov 16, 2010
Practice Location
- Address
- 627 N EVANS ST
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-3923
- Phone
- (503) 434-7527
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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