RONALD AUSTIN CLARK

LEESBURG, VA
NPI1508908427
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904000736)
Enumeration Date2007-02-14
Last Update Date2007-07-09
Business Address
Mr. RONALD AUSTIN CLARK LCSW
215 LOUDOUN ST SE
LEESBURG, VA 20175-3115
Phone number: 703-771-7555
Mailing Address
Mr. RONALD AUSTIN CLARK LCSW
17719 DEVEAU CT
PURCELLVILLE, VA 20132
Phone number: 540-338-6940