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1023327921
JOHN M CLARK
WANTAGH, NY
NPI
1023327921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 038181)
Enumeration Date
2010-09-27
Last Update Date
2010-09-27
Business Address
Mr. JOHN M CLARK LMSW
3528 MANCHESTER RD
WANTAGH, NY 11793-3010
Phone number: 516-650-2381
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Mailing Address
Mr. JOHN M CLARK LMSW
3528 MANCHESTER RD
WANTAGH, NY 11793-3010
Phone number: 516-650-2381
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