MS. Kristin Anne Clark

NPI #1851468052 in Gilroy, California

Provider Information

NPI Number: 1851468052
Entity Type: Individual
Name: MS. Kristin Anne Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 30, 2006
Last Updated: Aug 7, 2017

Practice Location

Address: 290 IOOF AVE.
City: Gilroy
State: California
ZIP Code: 95020
Phone: (831) 466-6385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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