Diane Clark, LSCSW Valid NPI

Individual provider · Clinical Social Worker · Manhattan, KS

NPI

1225419096

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

LSCSW2422 (KS)

Sex

Female

Sole proprietor

Yes

Enumerated

2015-06-17

Last updated

2015-06-17