Individual
MR. CLARK WILLIAM GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ANCHORAGE COMMUNITY MENTAL HEALTH 4020 FOLKER STREET, ANCHORAGE, AK 99508
(907) 762-8606
Mailing address
11860 PORTAGE CIR, ANCHORAGE, AK 99515-3100
(907) 444-7859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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