JACK MALCOLM CLARK

SAN ANTONIO, TX
NPI1841311487
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  36151)
Enumeration Date2007-04-02
Last Update Date2021-05-24
Business Address
Mr. JACK MALCOLM CLARK LCSW
7711 MADONNA
SAN ANTONIO, TX 78216-6620
Phone number: 210-377-1133
Mailing Address
Mr. JACK MALCOLM CLARK LCSW
BROOKE ARMY MEDICAL CENTER
FT. SAM HOUSTON, TX 78234-4504
Phone number: 210-916-3704