MS. Jean R Clark, JEAN R CLARK

NPI #1417051434 in Riverside, Illinois

Provider Information

NPI Number: 1417051434
Entity Type: Individual
Name: MS. Jean R Clark, JEAN R CLARK
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: JEAN R CLARK
Enumeration Date: Sep 11, 2006
Last Updated: Dec 11, 2007

Practice Location

Address: 141 BARRYPOINT RD
City: Riverside
State: Illinois
ZIP Code: 60546-2230
Phone: (708) 442-5728

Specialties & Taxonomy Codes

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

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