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1689608952
GREGORY D CLARK
FARGO, ND
NPI
1689608952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ND LICSW 2973)
Enumeration Date
2006-07-10
Last Update Date
2016-03-25
Business Address
Mr. GREGORY D CLARK MSW
118 BROADWAY N STE 810
FARGO, ND 58102-4949
Phone number: 701-799-8785
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Mailing Address
Mr. GREGORY D CLARK MSW
118 BROADWAY N STE 810
FARGO, ND 58102-4949
Phone number: 701-799-8785
Copy
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