NPI Profile for ISAACBA DAVIES CLARK in FORT WASHINGTON, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Counselor |
101Y00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1568233955 |
|
| Status | Active | |
| Credentials | LGPC | |
| Entity | Individual | |
| Enumeration date | 01/15/2024 | |
| Last updated | 01/27/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ISAACBA DAVIES CLARK
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