Deandra L Clark is a Social Worker in Portland, Maine. Deandra L Clark practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Deandra L Clark is 1588713655. The last update date is 2007-07-08.
Deandra L Clark's current location address is Po Box 8264, Portland, Maine. You can contact this provider via phone number 2079391909 and fax number 2078711243. The mailing address for Deandra L Clark is Po Box 8264, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deandra L Clark |
|---|---|
| Address | Po Box 8264, Portland, Maine |
| Phone Number | 2079391909 |
| Fax Number | 2078711243 |
| Sole Proprietor | N |
| Credentials | M.S., LCPC |
NPI Number Detail
| NPI Number | 1588713655 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 8264 |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41048264 |
| Phone Number | 2079391909 |
| Fax Number | 2078711243 |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
| Licence No | LS6308 |
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Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an |
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Post Comment/ Review Below
Could you please provide the complete street address where Deandra L Clark is physically located?
The Deandra L Clark is physically situated at the following address: Po Box 8264, Portland, ME, 41048264.
What is the Deandra L Clark's area of specialization and corresponding taxonomy classification?
The Deandra L Clark's specialty field is Social Worker, and it falls under the taxonomy code 104100000X, which categorizes healthcare providers based on their specialties.
On what date did the Deandra L Clark receive its 1588713655 assignment from the Centers for Medicare & Medicaid Services?
The Deandra L Clark was assigned its 1588713655 by the Centers for Medicare & Medicaid Services on 2007-01-09.
As of what date were the Deandra L Clark's details last updated?
The information pertaining to the Deandra L Clark, including its address, specialty, and other details, was most recently updated on 2007-07-08.
As of what date were the details related to Deandra L Clark most recently updated or revised?
The information pertaining to Deandra L Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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