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1104513506
PATRICK MICHAEL CLARK
MANKATO, MN
NPI
1104513506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 29834)
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
PATRICK MICHAEL CLARK LGSW
1400 MADISON AVE STE 322
MANKATO, MN 56001-5465
Phone number: 507-702-3030
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Mailing Address
PATRICK MICHAEL CLARK LGSW
742 SIOUX LN
SAINT PETER, MN 56082-5201
Phone number: 630-930-7799
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