Individual
CHRISTOPHER A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1218 BISHOPS LODGE RD, SANTA FE, NM 87501-1099
(316) 992-6940
Mailing address
1218 BISHOPS LODGE RD, SANTA FE, NM 87501-1099
(316) 992-6940
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2026-0434
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
04/16/2026
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