Individual
ETHAN ALEXANDER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 DELANO AVE, CHILLICOTHE, OH 45601-2250
(740) 851-7962
Mailing address
207 DELANO AVE, CHILLICOTHE, OH 45601-2250
(740) 851-7962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
OH
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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