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Contact Information

TRACEY E CLARK, MSW
775 DENT ROAD
ROANOKE, VA24019-4116
 Phone: 540-265-4281
 Fax: 540-265-4287
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for TRACEY E CLARK · (Female)

NPI # 1396967956
Status Active
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 05/03/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
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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