KIM CLARK

SOUTH ROYALTON, VT
NPI1508074311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VT  0890000559)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: MA  101057)
Enumeration Date2007-05-18
Last Update Date2007-07-09
Business Address
Mrs. KIM CLARK L.I.C.S.W.
226 LEONARD RD
SOUTH ROYALTON, VT 05068-9565
Phone number: 802-763-8773
Mailing Address
Mrs. KIM CLARK L.I.C.S.W.
226 LEONARD RD
SOUTH ROYALTON, VT 05068-9565
Phone number: 802-763-8773
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