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1497376958
KEVIN P. CLARK
GOSHEN, NY
NPI
1497376958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R-049202-1)
Enumeration Date
2020-05-06
Last Update Date
2020-05-06
Business Address
KEVIN P. CLARK LCSW-R
30 HARRIMAN DR
GOSHEN, NY 10924-2410
Phone number: 845-291-2142
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Mailing Address
KEVIN P. CLARK LCSW-R
30 HARRIMAN DR
GOSHEN, NY 10924-2410
Phone number: 845-291-2142
Copy
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