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1205079845
CLARK WILLIAM GREEN
ANCHORAGE, AK
NPI
1205079845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2009-04-13
Last Update Date
2009-04-13
Business Address
Mr. CLARK WILLIAM GREEN
ANCHORAGE COMMUNITY MENTAL HEALTH 4020 FOLKER STREET
ANCHORAGE, AK 99508
Phone number: 907-762-8606
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Mailing Address
Mr. CLARK WILLIAM GREEN
11860 PORTAGE CIR
ANCHORAGE, AK 99515-3100
Phone number: 907-444-7859
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