Individual
CLARK EDWARD JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 WASHINGTON BLVD, ARLINGTON, VA 22204-5719
(703) 228-6000
Mailing address
2110 WASHINGTON BLVD, ARLINGTON, VA 22204-5719
(703) 228-6000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001940
VA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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