Jonetta A Clark

NPI #1750998407 in Dolton, Illinois

Provider Information

NPI Number
1750998407
Entity Type
Individual
Name
Jonetta A Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Sep 28, 2020
Last Updated
Sep 28, 2020

Practice Location

Address
1401 KASTEN DR
City
Dolton
ZIP Code
60419-2443
Phone
(773) 679-0235

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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