Most Relevant Information
Provider Data
| NPI Number: | 1003007642 |
| Provider Name: | JENNIFER LYNN HARK MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | ASW 20086 |
Most Important Dates
| Enumeration Date: | 08/08/2007 |
| Last Updated: | 08/08/2007 |
Provider Practice Location
11301 WILSHIRE BLVD BLDG 206
ROOM 123
LOS ANGELES
CA
900731003
Practice Location Phone/Fax
| Phone: | 3104783711 |
| Fax: |
Provider Mailing Location
11301 WILSHIRE BLVD BLDG 206
ROOM 123
LOS ANGELES
CA
900731003
Provider Mailing Phone/Fax
| Phone: | 3104783711 |
| Fax: |