Owen Clark
Owen Clark is a Clinical Social Worker in Decatur, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
235 E Ponce De Leon Ave Ste 320Decatur, GA 30030-3452
Phone: (404) 692-2932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1366291940 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2024 |
| Last updated in NPPES | May 24, 2024 |
| Certification date | May 24, 2024 |
| Mailing address | 210 Appleby Dr Apt 216, Athens, GA 30605-5411 |
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