STEPHEN ARTHUR DECLARK

RACINE, WI
NPI1609051085
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  6701-123)
Enumeration Date2008-01-04
Last Update Date2008-01-04
Business Address
Mr. STEPHEN ARTHUR DECLARK LCSW
700 VILLA ST
RACINE, WI 53403-1144
Phone number: 262-902-5602
Mailing Address
Mr. STEPHEN ARTHUR DECLARK LCSW
700 VILLA ST
RACINE, WI 53403-1144
Phone number: 262-902-5602
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