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Individual
WILLIAM DEANGELO CLARK
Active
Individual
WILLIAM DEANGELO CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
04/23/2007
Last updated
06/11/2025
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