JOHN LEWIS CLARK

ST. PAUL, MN
NPI1285856559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  7084)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
Mr. JOHN LEWIS CLARK LICSW
1845 UNIVERSITY AVENUE WEST
ST. PAUL, MN 55104
Phone number: 651-644-2600
Mailing Address
Mr. JOHN LEWIS CLARK LICSW
7352 BOLTON WAY
INVER GROVE HEIGHTS, MN 55076-2337
Phone number: 651-450-7327