| Leacha M Clark, ASW | |
|
4001 Ca-104, Ione, CA 95640 | |
| (209) 274-4911 | |
| Not Available |
| Full Name | Leacha M Clark |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4001 Ca-104, Ione, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366187676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 131925 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 106588 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Leacha M Clark, ASW 4380 Bastille Walk, Sacramento, CA 95834-2122 Ph: (209) 687-1754 | Leacha M Clark, ASW 4001 Ca-104, Ione, CA 95640 Ph: (209) 274-4911 |
Amanda N Wood, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 Hwy 104, Ione, CA 95640 Phone: 209-274-4911 | |
Yoselin Elizabeth Ortiz-luna, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 Ca-104, Ione, CA 95640 Phone: 209-274-4911 | |
Julianne Caitlin Sulenta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 Hwy 104, Ione, CA 95640 Phone: 209-274-4911 | |
Ms. Debra Ruth Laughlin, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway 104, Ione, CA 95640 Phone: 209-274-4911 | |
Mr. Anthony Lewis Bowers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway 104, Ione, CA 95640 Phone: 209-274-4911 | |
Trinity Elizabeth Alvarez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 Ca 104, Ione, CA 95640 Phone: 209-274-4911 |