RANDALL CLARK

PHILADELPHIA, PA
NPI1518748706
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: PA  023954)
Enumeration Date2023-10-12
Last Update Date2023-10-13
Business Address
RANDALL CLARK LCSW
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800
Mailing Address
RANDALL CLARK LCSW
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number:
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