KELLY A CLARK

CASPER, WY
NPI1730530957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  LCSW-1007)
Enumeration Date2016-06-29
Last Update Date2016-06-29
Business Address
-- KELLY A CLARK LCSW
1430 WILKINS CIR
CASPER, WY 82601-1336
Phone number: 307-237-9583
Mailing Address
-- KELLY A CLARK LCSW
1430 WILKINS CIR
CASPER, WY 82601-1336
Phone number: 307-237-9583