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1023765435
MICHAEL CLARK
CHARLOTTE, NC
NPI
1023765435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P017249)
Enumeration Date
2022-03-05
Last Update Date
2022-03-05
Business Address
MICHAEL CLARK LCSWA
3126 MILTON RD STE 232
CHARLOTTE, NC 28215-3782
Phone number: 704-930-0680
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Mailing Address
MICHAEL CLARK LCSWA
8640 UNIVERSITY CITY BLVD STE A3153
CHARLOTTE, NC 28213-3501
Phone number: 980-202-2526
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