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Search › California › Clinical Social Worker

Champagne Clark

NPI 1306323563 · on the registry since 2018

Practice

Address
500b Jefferson Blvd
West Sacramento, CA 95605
Phone
(916) 403-2990
Organisation at this address
Ole Health
Imgrx Salud Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California