PAUL EDWARD CLARK

HAMPTON, VA
NPI1124594742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904010740)
Enumeration Date2018-10-22
Last Update Date2018-10-22
Business Address
PAUL EDWARD CLARK LCSW
100 EMANCIPATION DR
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
Mailing Address
PAUL EDWARD CLARK LCSW
132 LIGHTHOUSE DR
PORTSMOUTH, VA 23703-5473
Phone number: 757-434-5211
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