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Individual

MR. DAVID ALLAN CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
50196 872ND RD, PAGE, NE 68766-5539
(402) 338-5510
(402) 338-5510
Mailing address
50196 872ND RD, PAGE, NE 68766-5539
(402) 338-5510
(402) 338-5510

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
594
NE

Other

Enumeration date
10/15/2007
Last updated
11/18/2008
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