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1306861331
JOHN D CLARK
FORT WASHINGTON, MD
NPI
1306861331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 04054)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
-- JOHN D CLARK MSW, LCSW-C
10905 FORT WASHINGTON RD
FORT WASHINGTON, MD 20744-5843
Phone number: 301-292-3994
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Mailing Address
-- JOHN D CLARK MSW, LCSW-C
3604 WABASH AVE
BALTIMORE, MD 21215-7436
Phone number: 410-367-8943
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