RALPH M CLARK

MINEOLA, NY
NPI1629491071
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  3827)
Enumeration Date2014-01-21
Last Update Date2014-01-21
Business Address
Mr. RALPH M CLARK CASAC
110 MAIN ST
MINEOLA, NY 11501-4000
Phone number: 516-747-5644
Mailing Address
Mr. RALPH M CLARK CASAC
110 MAIN ST
MINEOLA, NY 11501-4000
Phone number: 516-747-5644
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