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1710632278
DEREK ELLIS CLARK
FAIRFAX, VA
NPI
1710632278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904013710)
Enumeration Date
2022-02-14
Last Update Date
2023-11-17
Business Address
DEREK ELLIS CLARK LCSW
4100 MONUMENT CT UNIT 204
FAIRFAX, VA 22033-2878
Phone number: 571-393-2424
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Mailing Address
DEREK ELLIS CLARK LCSW
4100 MONUMENT CT UNIT 204
FAIRFAX, VA 22033-2878
Phone number: 703-424-6788
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