Individual
CLARK THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
107 MAPLE ST, WEST ORANGE, NJ 07052-5818
(973) 980-6538
Mailing address
107 MAPLE ST, WEST ORANGE, NJ 07052-5818
(973) 980-6538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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