Individual
DAVID R CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 813-1450
Mailing address
3986 BERKLEY DR, JACKSON, MS 39211-6309
(601) 954-9286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C2281
MS
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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