BRYAN JEROME TALBOTT-CLARK

ANCHORAGE, AK
NPI1376015156
Former NameBRYAN JEROME CLARK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AK  123001)
Enumeration Date2018-12-18
Last Update Date2018-12-18
Business Address
Mr. BRYAN JEROME TALBOTT-CLARK LCSW
3900 AMBASSADOR DR FL 4
ANCHORAGE, AK 99508-5922
Phone number: 907-729-4558
Mailing Address
Mr. BRYAN JEROME TALBOTT-CLARK LCSW
3900 AMBASSADOR DR FL 4
ANCHORAGE, AK 99508-5922
Phone number: 907-729-4558
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