Individual
MR. PATRICK L CLARK
Active
Individual
MR. PATRICK L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-7071T
AZ
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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