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Gwendolyn D Clark, LCSW
Mental Health Counselor in Wilmington, North Carolina
NPI 1588620538

Gwendolyn D Clark is a Mental Health Counselor based in Wilmington, NC and is specialized in Mental Health. Gwendolyn D Clark practices in Wilmington, NC and has the professional credentials of LCSW. The NPI Number for Gwendolyn D Clark is 1588620538 and holds a License No. C002055 (North Carolina).

The current practice location address for Gwendolyn D Clark is 218 Holiday Hills Dr, Wilmington, NC and can be reached out via phone at 910-612-0782.

Location: 218 Holiday Hills Dr, Wilmington, NC, 28409-3514
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Provider Profile Details
NPI Number
1588620538
Provider Name
Gwendolyn D Clark
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
218 Holiday Hills Dr, Wilmington, NC, 28409-3514
Phone Number
910-612-0782
Fax Number
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6106158 05 NC
1312U 01 NC BCBS #
C002055 01 NC LICENSE
institution
Provider Business Practice Location Address Details
Address
218 Holiday Hills Dr
City
State
Zip
28409-3514
Phone Number
910-612-0782
Fax Number
person
Provider Business Mailing Address Details
Address
218 Holiday Hills Dr
City
State
Zip
28409-3514
Phone Number
910-612-0782
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C002055 (North Carolina)
Definition
Definition to come...
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