TIERRA CLARK

ELLICOTT CITY, MD
NPI1811342868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MD  24554)
Additional Taxonomies103K00000X Behavior Analyst
Enumeration Date2016-04-27
Last Update Date2022-01-12
Business Address
TIERRA CLARK lmsw
8507 MAIN ST
ELLICOTT CITY, MD 21043-4997
Phone number: 443-527-2785
Mailing Address
TIERRA CLARK lmsw
330 SAINT PAUL ST APT 5
BALTIMORE, MD 21202-4989
Phone number: 443-527-2785