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Organization
RONALD L CLARK, MSW, CSW, PC
Active
Organization
RONALD L CLARK, MSW, CSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD L CLARK LCSW-R (LICENSED CLINICAL SOCIAL WORKER)
(315) 326-0155
Entity
Organization
Contact information
Practice address
106 W UTICA ST STE G, OSWEGO, NY 13126-3059
(315) 326-0155
Mailing address
177 E 8TH ST, OSWEGO, NY 13126-3330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R053849
NY
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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