Individual
MICHAEL ANTHONY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
131 MARKET ST, JOHNSTOWN, PA 15901-1628
(814) 534-0745
Mailing address
131 MARKET ST, JOHNSTOWN, PA 15901-1628
(814) 534-0745
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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