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1417933037
WALTER KEN CLARK
FORT LEONARD WOOD, MO
NPI
1417933037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 002396)
Enumeration Date
2005-12-15
Last Update Date
2007-07-08
Business Address
Mr. WALTER KEN CLARK MSSW
126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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Mailing Address
Mr. WALTER KEN CLARK MSSW
126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
Copy
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