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1598839755
RICHARD JOSEPH CLARK
GLENDALE, WI
NPI
1598839755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 1893057)
Enumeration Date
2006-11-20
Last Update Date
2012-04-25
Business Address
Dr. RICHARD JOSEPH CLARK PsyD
6700 N PORT WASHINGTON RD
GLENDALE, WI 53217-3919
Phone number: 414-351-0450
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Mailing Address
Dr. RICHARD JOSEPH CLARK PsyD
2312 N GRANDVIEW BLVD SUITE 104
WAUKESHA, WI 53188-1600
Phone number: 262-522-8512
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