Individual
HARRY CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HWY 491, NORTH PINON STREET, SHIPROCK, NM 87420-1830
(505) 368-1050
(505) 368-1462
Mailing address
PO BOX 1830, HWY 491, NORTH PINON STREET, SHIPROCK, NM 87420-1830
(505) 368-1050
(505) 368-1462
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
07/16/2019
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