Rebecca Clark LSW

NPI 1174606776 - Social Worker - 104100000X

NPI Details
NPI 1174606776
Gender Female
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1330 W 26TH ST FL 2
ERIE PA, 16508-1402, US
Phone (814) 451-2345
Fax (814) 451-2348
Business Location
1330 W 26TH ST FL 2
ERIE PA, 16508-1402, US
Phone (814) 451-2345
Fax (814) 451-2348
Toxanomy
Taxonomy Code 104100000X
License State Pennsylvania
License Number SW011652L
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According to our database, Rebecca Clark LSW NPI is 1174606776, taxonomy code is 104100000X and license number is SW011652L, license state is located at Pennsylvania. Rebecca Clark LSW physically located at 1330 W 26th St Fl 2, Erie PA, 16508-1402. NPI Number Rebecca Clark LSW has the Individual type.

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1174606776 NPI number is provided on an as is basis without warranty of any kind. 1174606776 is maintained by the National Plan & Provider Enumeration System. The contents of Rebecca Clark LSW are for informational purposes only.