MRS. Kim Clark, L.I.C.S.W.
NPI #1508074311 in South Royalton, Vermont
Provider Information
- NPI Number
- 1508074311
- Entity Type
- Individual
- Name
- MRS. Kim Clark, L.I.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- L.I.C.S.W.
- Enumeration Date
- May 18, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 226 LEONARD RD
- City
- South Royalton
- State
- Vermont
- ZIP Code
- 05068-9565
- Phone
- (802) 763-8773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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