RONNIE L CLARK

HAMPTON, VA
NPI1780793364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904005559)
Enumeration Date2006-08-29
Last Update Date2012-04-10
Business Address
-- RONNIE L CLARK LCSW
600 MEDICAL DR SUITE B
HAMPTON, VA 23666-1769
Phone number: 757-788-0601
Mailing Address
-- RONNIE L CLARK LCSW
300 MEDICAL DR 2ND FLOOR
HAMPTON, VA 23666-1765
Phone number: 757-788-0300