Individual
MR. MELVIN DALTON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 230-3315
Mailing address
9427 JEWEL LAKE RD, ANCHORAGE, AK 99502-1518
(907) 230-3315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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