John M Clark LMSW

NPI 1023327921 - Social Worker - 104100000X

NPI Details
NPI 1023327921
Gender Male
Enumeration Date 09/27/2010
Last Updated 09/27/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3528 MANCHESTER RD
WANTAGH NY, 11793-3010, US
Phone (516) 650-2381
Fax
Business Location
3528 MANCHESTER RD
WANTAGH NY, 11793-3010, US
Phone (516) 650-2381
Fax
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 038181
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According to our database, Mr. John M Clark LMSW NPI is 1023327921, taxonomy code is 104100000X and license number is 038181, license state is located at New York. John M Clark LMSW physically located at 3528 Manchester Rd, Wantagh NY, 11793-3010. NPI Number John M Clark LMSW has the Individual type.

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1023327921 NPI number is provided on an as is basis without warranty of any kind. 1023327921 is maintained by the National Plan & Provider Enumeration System. The contents of John M Clark LMSW are for informational purposes only.