Individual
DAVID CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
422 W 4TH AVE, FLINT, MI 48503-2404
(734) 718-8111
Mailing address
422 W 4TH AVE, FLINT, MI 48503-2404
(810) 496-5500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851116925
MI
Other
Enumeration date
08/13/2024
Last updated
08/23/2024
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