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Individual

MR. AARON MIKEL CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
15195 HEATHCOTE BLVD, SUITE 350, HAYMARKET, VA 20169-6242
(571) 284-3180
(571) 284-3189
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(571) 284-3180
(571) 284-3189

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007213
VA

Other

Enumeration date
01/07/2010
Last updated
04/21/2017
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