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1063147072
ELISA M CLARK
RED BANK, NJ
NPI
1063147072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05942500)
Enumeration Date
2022-07-22
Last Update Date
2022-07-22
Business Address
ELISA M CLARK LCSW
272 BROAD ST
RED BANK, NJ 07701-2044
Phone number: 732-747-7665
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Mailing Address
ELISA M CLARK LCSW
66 MIDDLETOWN RD
HOLMDEL, NJ 07733-2206
Phone number: 609-661-3660
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