| NPI | 1588231773 |
|---|---|
| Former Legal Business Name | NASHON CLARK LCSW |
| Entity Type | Organization |
| Authorized Contact | NASHON CLARK Owner 516-600-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-11 |