Rebecca Clark's National Provider Identifier (NPI) Details
Rebecca Clark, Ph.D, LCSW
NPI: 1699026773
Enumeration Date: 2012-09-28
Last updated: 2024-02-29
Sole Proprietor: NO
Status: active
Postal Address: 6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA
Phone: 270-535-2545
Primary Practice Address: 6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA
Practice's phone: 270-535-2545