PAUL R CLARK

FOND DU LAC, WI
NPI1285964163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WI  4259-125)
Enumeration Date2009-12-28
Last Update Date2009-12-28
Business Address
-- PAUL R CLARK LPC
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-4200
Mailing Address
-- PAUL R CLARK LPC
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-4200
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