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Credential/License Summary for 9408

Name: CLARK, BRANNEN S
Profession: LICENSED CLINICAL SOCIAL WORKER (123)
Credential/License Number: 9408-123
Location: MADISON WI
Credential/License Type: regular
Status: License is current (Active)
Eligible To Practice: credential license is current

Details
Requirements
Payments
Orders
Relationships

Credential/License current through: 2/28/2027
Granted date: 3/31/2020
Multi-state: Y
Orders: NONE
Specialties: NONE
Other Names: Stephanie M Clark

Requirement Code Complied? Complied Date
Renewal Requirements for the year: 2021
FEE requirement complied 01/19/2021
Renewal Year Amount Paid Payment Received
2021 62 01/19/2021

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ATTENTION: If a renewal application including payment is received by the renew by date (or Credential/License current through date), the credential holder is eligible to practice while the credential renewal is being processed. The credential holder must respond to any requests for information during the renewal process. See Wis. Stat. ยง 227.51(2).

Requirement Code Description

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