Peggy Clark, LSW28036

NPI 1407032709 · on the registry since 2008

Practice

Address: 1740 E 17th St Ste B
Idaho Falls, ID 83404
Phone: (208) 529-8832
Fax: (208) 522-8725
Organisation at this address: Bmh, Inc
Pearl Group Homes
Pearl Group Homes
Family Care Center
Family Care Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 73

Registry record

Primary taxonomy: Social Worker
104100000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-01-16

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 Idaho