WALTER KEN CLARK

FORT LEONARD WOOD, MO
NPI1417933037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  002396)
Enumeration Date2005-12-15
Last Update Date2007-07-08
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
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