Individual
HUGH CLARK JR.
Active
Individual
HUGH CLARK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
C010704
NC
103TC1900X
Counseling Psychologist
SW11255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12510840
CAQH
FL
01
—
C010704
LCSW
NC
01
—
SW11255
LCSW
FL
Enumeration date
06/19/2017
Last updated
05/10/2021
Update your record
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