WAYNE E CLARK

BRONX, NY
NPI1396209136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  23387)
Enumeration Date2019-01-25
Last Update Date2019-01-25
Business Address
WAYNE E CLARK CASAC
820 SAINT ANNS AVE
BRONX, NY 10456-7885
Phone number: 646-316-3265
Mailing Address
WAYNE E CLARK CASAC
2012 BENEDICT AVE STE 2
BRONX, NY 10462-4404
Phone number: 646-316-3265
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