Gerard Clark

NPI 1386779759 - Social Worker - 104100000X

NPI Details
NPI 1386779759
Gender Male
Enumeration Date 02/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
225 S 69TH ST
UPPER DARBY PA, 19082-4212, US
Phone (610) 352-8943
Fax (610) 352-8880
Business Location
569 PARKER AVE
PHILADELPHIA PA, 19128-2423, US
Phone (215) 509-6634
Fax (610) 352-8880
Toxanomy
Taxonomy Code 104100000X
License State Pennsylvania
License Number SW-002765-E
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According to our database, Gerard Clark NPI is 1386779759, taxonomy code is 104100000X and license number is SW-002765-E, license state is located at Pennsylvania. Gerard Clark physically located at 225 S 69th St, Upper Darby PA, 19082-4212. NPI Number Gerard Clark has the Individual type.

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1386779759 NPI number is provided on an as is basis without warranty of any kind. 1386779759 is maintained by the National Plan & Provider Enumeration System. The contents of Gerard Clark are for informational purposes only.