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Contact Information

ISAACBA DAVIES CLARK, LGPC
938 E SWAN CREEK RD STE 102
FORT WASHINGTON, MD20744-5250
 Phone: 240-813-0015
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ISAACBA DAVIES CLARK · (Female)

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
  • DC License # LGPC200001639
  • MD License # LGP14844
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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