CAITLIN VAN CLARK

ROSEBURG, OR
NPI1639703887
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L11752)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: OR  21-QMHP-R-0533)
Enumeration Date2020-02-26
Last Update Date2024-08-12
Business Address
Mrs. CAITLIN VAN CLARK LCSW
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
Mailing Address
Mrs. CAITLIN VAN CLARK LCSW
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: