Individual
MR. CLARK Q BECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4745 MAIN ST, SUITE 207, LISLE, IL 60532-1754
(630) 442-1895
(630) 442-1895
Mailing address
4745 MAIN ST, SUITE 207, LISLE, IL 60532-1754
(630) 442-1895
(630) 442-1895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016945
IL
Other
Enumeration date
11/03/2010
Last updated
09/30/2016
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