Individual
EDWARD A CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3700 JOSEPHINE LN, MASON, MI 48854-9540
(517) 676-9577
(517) 676-3057
Mailing address
3700 JOSEPHINE LN, MASON, MI 48854-9540
(517) 676-9577
(517) 676-3057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801006088
MI
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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