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1811511017
IRENE MARIA CLARK
PHILADELPHIA, PA
NPI
1811511017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: DE Q1-0001798)
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
IRENE MARIA CLARK LCSW
3101 N. 29TH ST.
PHILADELPHIA, PA 19132
Phone number: 404-740-7747
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Mailing Address
IRENE MARIA CLARK LCSW
3018 W DIAMOND ST
PHILADELPHIA, PA 19121-1151
Phone number: 404-740-7747
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