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Amy Clark, LICSW
NPI 1700955259 · on the registry since 2006 · sole proprietor
Practice
- Address
- 102 Marty Dr
Buffalo, MN 55313 - Phone
- (763) 682-5420
- Fax
- (763) 682-5803
- Organisation at this address
- Brenner Dental Group
Buffalo Dental Center
Family Counseling Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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 Minnesota