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1205845336
BRIAN K CLARK
FRANKLIN, WI
NPI
1205845336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 1471-123)
Enumeration Date
2006-08-07
Last Update Date
2019-08-26
Business Address
Mr. BRIAN K CLARK LCSW
9200 W LOOMIS RD #103
FRANKLIN, WI 53132
Phone number: 414-425-1250
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Mailing Address
Mr. BRIAN K CLARK LCSW
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 414-647-6326
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