EDWARD CLARK

RAEFORD, NC
NPI1235146697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C000989)
Enumeration Date2006-08-01
Last Update Date2008-03-25
Business Address
-- EDWARD CLARK LCSW
121 E ELWOOD AVE
RAEFORD, NC 28376-2947
Phone number: 910-875-8156
Mailing Address
-- EDWARD CLARK LCSW
PO BOX 9
WEST END, NC 27376-0009
Phone number: 910-673-9111