Candace Clark
NPI #1619534203 in Blue Island, Illinois
Provider Information
- NPI Number
- 1619534203
- Entity Type
- Individual
- Name
- Candace Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 20, 2019
- Last Updated
- Dec 3, 2021
Practice Location
- Address
- 13136 WESTERN AVE
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-2423
- Phone
- (708) 974-5864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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