Faith Clark's National Provider Identifier (NPI) Details
Faith Clark, MSW, LICSW, LADC
NPI: 1194282160
Enumeration Date: 2019-02-26
Last updated: 2022-01-31
Sole Proprietor: YES
Status: active
Postal Address: 227 7TH ST, TWO HARBORS, MN
Phone: 218-830-8085
Primary Practice Address: 227 7TH ST, TWO HARBORS, MN
Practice's phone: 218-830-8085