Adam Clark, LCSW

NPI #1699276287 in Coquille, Oregon

Provider Information

NPI Number
1699276287
Entity Type
Individual
Name
Adam Clark, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Feb 28, 2018
Last Updated
Sep 3, 2020

Practice Location

Address
790 E 5TH ST
State
Oregon
ZIP Code
97423-1755
Phone
(541) 396-3111

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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