ANTHONY CLARK

WOODBRIDGE, VA
NPI1902497977
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904007949)
Enumeration Date2021-02-01
Last Update Date2021-02-01
Business Address
ANTHONY CLARK LCSW
3369 ESQUARRE CT
WOODBRIDGE, VA 22193-1026
Phone number: 571-205-0344
Mailing Address
ANTHONY CLARK LCSW
3369 ESQUARRE CT
WOODBRIDGE, VA 22193-1026
Phone number: 571-205-0344
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