Individual
MR. DAVID BURTON CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
3170 W CENTRAL AVE STE B, TOLEDO, OH 43606-2945
(567) 316-7353
Mailing address
3170 W CENTRAL AVE STE B, TOLEDO, OH 43606-2945
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OH
104100000X
Social Worker
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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