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1013967017
RONALD R CLARK
LANSING, MI
NPI
1013967017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801085695)
Enumeration Date
2006-05-11
Last Update Date
2007-07-08
Business Address
-- RONALD R CLARK CSW
812 E JOLLY RD STE G14
LANSING, MI 48910-6818
Phone number: 517-346-8279
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Mailing Address
-- RONALD R CLARK CSW
812 E JOLLY RD STE 210
LANSING, MI 48910-6818
Phone number: 517-346-8410
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