Individual
MR. PATRICK J. CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
6055 MEXICO RD, ST PETERS, MO 63376-1632
(636) 498-2273
(636) 498-0390
Mailing address
9200 WATSON RD, SUITE G101, SAINT LOUIS, MO 63126-1528
(314) 367-5500
(314) 843-9212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003007957
MO
Other
Enumeration date
02/01/2006
Last updated
07/08/2007
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