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1841311487
JACK MALCOLM CLARK
SAN ANTONIO, TX
NPI
1841311487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 36151)
Enumeration Date
2007-04-02
Last Update Date
2021-05-24
Business Address
Mr. JACK MALCOLM CLARK LCSW
7711 MADONNA
SAN ANTONIO, TX 78216-6620
Phone number: 210-377-1133
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Mailing Address
Mr. JACK MALCOLM CLARK LCSW
BROOKE ARMY MEDICAL CENTER
FT. SAM HOUSTON, TX 78234-4504
Phone number: 210-916-3704
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