Individual
MR. EDWARD G CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 STAMPER RD, SUITE 101, FAYETTEVILLE, NC 28303-4379
(910) 323-2875
Mailing address
804 STAMPER RD, SUITE 101, FAYETTEVILLE, NC 28303-4379
(910) 323-2875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6688
NC
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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