NICOLE ELIZABETH CLARK

NORTH SYRACUSE, NY
NPI1407697717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NY  123078)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2024-06-03
Last Update Date2024-06-03
Business Address
NICOLE ELIZABETH CLARK LMSW
7266 BUCKLEY RD
NORTH SYRACUSE, NY 13212-2649
Phone number: 315-458-0919
Mailing Address
NICOLE ELIZABETH CLARK LMSW
8416B SHALLOWCREEK RD
LIVERPOOL, NY 13090-1328
Phone number: 315-885-0959