LEONARD A CLARK

LEXINGTON, KY
NPI1215085600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  1498)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  ADCLAD0022409)
104100000X Social Worker
(Licence: KY  1498)
Enumeration Date2007-01-08
Last Update Date2019-04-25
Business Address
LEONARD A CLARK LCSW
200 W LOWRY LN
LEXINGTON, KY 40503-3019
Phone number: 859-229-8160
Mailing Address
LEONARD A CLARK LCSW
200 W LOWRY LN
LEXINGTON, KY 40503-3019
Phone number: 859-229-8160