Organization
CLACK ASSOCIATES, LLC.
Active
Other names
Clack Associates, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN LIEBOLD (MANAGER)
(856) 596-3196
Entity
Organization
Contact information
Practice address
603 LIBERTY PLACE, SICKLERVILLE, NJ 08081
(856) 875-5335
Mailing address
200 DAVISTOWN ROAD PO BOX 272, BLACKWOOD, NJ 08012-9998
(856) 875-5335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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