BENJAMIN CLARK

WASHINGTON, IL
NPI1467298257
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209029848)
Enumeration Date2024-07-02
Last Update Date2024-07-15
Business Address
BENJAMIN CLARK PMHNP-BC
1204 KINGSBURY RD
WASHINGTON, IL 61571-1213
Phone number: 309-253-4519
Mailing Address
BENJAMIN CLARK PMHNP-BC
1204 KINGSBURY RD
WASHINGTON, IL 61571-1213
Phone number: 309-253-4519
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