Timothy Clark, LICSW
NPI #1538263801 in West Barnstable, Massachusetts
Provider Information
- NPI Number
- 1538263801
- Entity Type
- Individual
- Name
- Timothy Clark, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LICSW
- Enumeration Date
- Sep 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1170 MAIN ST RT 6A
- City
- West Barnstable
- State
- Massachusetts
- ZIP Code
- 02665
- Phone
- (508) 737-2701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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