Individual
MR. ERIC CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9300
Mailing address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12799
SC
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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