CLARK WILLIAM GREEN

ANCHORAGE, AK
NPI1205079845
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2009-04-13
Last Update Date2009-04-13
Business Address
MR. CLARK WILLIAM GREEN
ANCHORAGE COMMUNITY MENTAL HEALTH 4020 FOLKER STREET
ANCHORAGE, AK 99508
Phone number: 907-762-8606
Mailing Address
MR. CLARK WILLIAM GREEN
11860 PORTAGE CIR
ANCHORAGE, AK 99515-3100
Phone number: 907-444-7859