Individual
MR. ERIC CHARLES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLBSW
Contact information
Practice address
1608 LAKE ST, KALAMAZOO, MI 49001-3170
(269) 344-0202
(269) 373-2939
Mailing address
1608 LAKE ST, KALAMAZOO, MI 49001-3170
(269) 344-0202
(269) 373-2939
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802088506
MI
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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