Bonnie Clark, LCSW-R

NPI #1770700130 in Corning, New York

Provider Information

NPI Number: 1770700130
Entity Type: Individual
Name: Bonnie Clark, LCSW-R
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW-R
Enumeration Date: Apr 19, 2007
Last Updated: Dec 31, 2009

Practice Location

Address: 280 PRINCETON AVENUE EXT
City: Corning
State: New York
ZIP Code: 14830-1524
Phone: (607) 962-3148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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