Individual
KEVIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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