Individual
MR. WILLIAM RANDOLPH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
12880 HILLCREST RD, J-235, DALLAS, TX 75230-1532
(214) 729-9396
(972) 385-0711
Mailing address
12880 HILLCREST RD, J-235, DALLAS, TX 75230-1532
(214) 729-9396
(972) 385-0711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
61784
TX
Other
Enumeration date
07/30/2007
Last updated
06/20/2011
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