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Individual

DR. DONALD L CLARK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
428 COFFEY KNOB RD, BOONE, NC 28607-6608
(828) 264-6576
(828) 262-9887
Mailing address
PO BOX 502, BOONE, NC 28607-0502
(828) 264-6576
(828) 262-9887

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0431
NC

Other

Enumeration date
11/09/2005
Last updated
07/08/2007
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