Individual
MR. CLARK A BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5537 N CLARK ST, 2ND FLOOR, CHICAGO, IL 60640
(773) 219-1107
Mailing address
3440 W POTOMAC AVE UNIT 1, CHICAGO, IL 60651-2329
(603) 667-0822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150.112290
IL
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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