Individual
MR. RICHARD CLARK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
984 BOSTON HWY, MONTICELLO, FL 32344-4758
(407) 448-2546
Mailing address
2313 ASTORIA CT, TALLAHASSEE, FL 32303-3309
(407) 448-2546
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH27487
FL
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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