TAYLOR CLARK

BAKER CITY, OR
NPI1740729599
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OR  L4730)
Enumeration Date2017-02-13
Last Update Date2020-07-10
Business Address
TAYLOR CLARK LCSW
2100 MAIN ST
BAKER CITY, OR 97814-2655
Phone number: 541-523-7400
Mailing Address
TAYLOR CLARK LCSW
2100 MAIN ST
BAKER CITY, OR 97814-2655
Phone number: 541-523-7400