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1174649172
GARY CLARK
NEW YORK, NY
NPI
1174649172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 073137)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Mr. GARY CLARK LSCW
502 W 143RD ST SUITE 3A
NEW YORK, NY 10031-6507
Phone number: 212-862-0693
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Mailing Address
Mr. GARY CLARK LSCW
502 W 143RD ST SUITE 3A
NEW YORK, NY 10031-6507
Phone number: 212-862-0693
Copy
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