GREGORY D CLARK

FARGO, ND
NPI1689608952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ND  LICSW 2973)
Enumeration Date2006-07-10
Last Update Date2016-03-25
Business Address
Mr. GREGORY D CLARK MSW
118 BROADWAY N STE 810
FARGO, ND 58102-4949
Phone number: 701-799-8785
Mailing Address
Mr. GREGORY D CLARK MSW
118 BROADWAY N STE 810
FARGO, ND 58102-4949
Phone number: 701-799-8785