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1780793364
RONNIE L CLARK
HAMPTON, VA
NPI
1780793364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904005559)
Enumeration Date
2006-08-29
Last Update Date
2012-04-10
Business Address
-- RONNIE L CLARK LCSW
600 MEDICAL DR SUITE B
HAMPTON, VA 23666-1769
Phone number: 757-788-0601
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Mailing Address
-- RONNIE L CLARK LCSW
300 MEDICAL DR 2ND FLOOR
HAMPTON, VA 23666-1765
Phone number: 757-788-0300
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