Individual
AARON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9333 E 21ST ST N, WICHITA, KS 67206-2927
(316) 634-4700
Mailing address
9333 E 21ST ST N, WICHITA, KS 67206-2927
(800) 992-6292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
12/03/2019
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