PATRICK MICHAEL CLARK

MANKATO, MN
NPI1104513506
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  29834)
Enumeration Date2023-04-18
Last Update Date2023-04-18
Business Address
PATRICK MICHAEL CLARK LGSW
1400 MADISON AVE STE 322
MANKATO, MN 56001-5465
Phone number: 507-702-3030
Mailing Address
PATRICK MICHAEL CLARK LGSW
742 SIOUX LN
SAINT PETER, MN 56082-5201
Phone number: 630-930-7799