NPI | 1235771031 |
---|---|
Doing Business As | CLACK ASSOCIATES, LLC. |
Entity Type | Organization |
Authorized Contact | KEVIN LIEBOLD Manager 856-596-3196 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2019-10-13 |
Last Update Date | 2019-10-13 |