| NPI | 1073611448 |
|---|---|
| Professional Name | DAVID WESLEY CLARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801002738) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-09-21 |