Leacha M Clark, ASW
NPI #1366187676 in Ione, California
Provider Information
- NPI Number
- 1366187676
- Entity Type
- Individual
- Name
- Leacha M Clark, ASW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- ASW
- Enumeration Date
- May 2, 2022
- Last Updated
- Aug 29, 2025
Practice Location
- Address
- 4001 CA-104
- City
- Ione
- State
- California
- ZIP Code
- 95640
- Phone
- (209) 274-4911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Student in an Organized Health Care Education/Training Program |
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