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Maci Danielle Clark

Social Worker in Louisville, KY. Individual provider (NPI-1).

NPI number1194520122
StatusActive
Last updated in NPPESFeb 14, 2025

Details

NPI
1194520122
Entity type
Individual (NPI-1)
Name
Maci Danielle Clark
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 14, 2025
Certification date
Feb 14, 2025
Last updated
Feb 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Other names

  • Maci Danielle Ewing (Former Name)

Practice location

315 Townepark Cir
Louisville, KY 40243-2338

Phone 859-436-8485

Mailing address

315 Townepark Cir
Louisville, KY 40243-2338

Phone 859-436-8485

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