| NPI | 1205856101 |
|---|---|
| Doing Business As | CARLTON F "PERK" CLARK, LCSW |
| Entity Type | Organization |
| Authorized Contact | CARLTON FREDERIC CLARK Owner 520-519-8475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-0011) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |