Individual
MR. RANDOLPH LAIRD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
554 PIT RD, BROWNSBURG, IN 46112-9555
(317) 742-9400
(317) 742-9414
Mailing address
554 PIT RD, BROWNSBURG, IN 46112-9555
(317) 742-9400
(317) 742-9414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007681A
IN
Other
Enumeration date
09/09/2013
Last updated
06/18/2024
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