JAMES A CLARK

FORT ATKINSON, WI
NPI1356365316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  484)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
-- JAMES A CLARK CADCIII
509 MCMILLEN ST
FORT ATKINSON, WI 53538-1263
Phone number: 920-563-7995
Mailing Address
-- JAMES A CLARK CADCIII
509 MCMILLEN ST
FORT ATKINSON, WI 53538-1263
Phone number: 920-563-7995
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