Individual
CHARLES E CLARK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
255 MAIN STREET, ST. CLAIRSVILLE, OH 43950
(740) 695-9447
Mailing address
PO BOX 118, SAINT CLAIRSVILLE, OH 43950-0118
(740) 695-9447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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