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1558449843
GREGORY JAMES CLARK
OLEAN, NY
NPI
1558449843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R073675-1)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
-- GREGORY JAMES CLARK LCSW-R
2656 W STATE ST SUITE 506
OLEAN, NY 14760-1871
Phone number: 716-378-1002
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Mailing Address
-- GREGORY JAMES CLARK LCSW-R
2608 ROUTE 305
CUBA, NY 14727-9555
Phone number: 585-968-3816
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