GREGORY CLARK

FAIRFAX, VA
NPI1811795313
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-03-03
Last Update Date2025-03-03
Business Address
GREGORY CLARK
3950 CHAIN BRIDGE RD
FAIRFAX, VA 22030-3935
Phone number: 703-665-9435
Mailing Address
GREGORY CLARK
100 JAMES DR SE
VIENNA, VA 22180-6710
Phone number: 571-888-1895
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