Individual
MR. ROGER DAN CLARK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4131 S BRAESWOOD BLVD, HOUSTON, TX 77025-3392
(713) 986-7835
(713) 667-3619
Mailing address
4131 S BRAESWOOD BLVD, HOUSTON, TX 77025-3392
(713) 986-7835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
69670
TX
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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