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1902497977
ANTHONY CLARK
WOODBRIDGE, VA
NPI
1902497977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VA 0904007949)
Enumeration Date
2021-02-01
Last Update Date
2021-02-01
Business Address
ANTHONY CLARK LCSW
3369 ESQUARRE CT
WOODBRIDGE, VA 22193-1026
Phone number: 571-205-0344
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Mailing Address
ANTHONY CLARK LCSW
3369 ESQUARRE CT
WOODBRIDGE, VA 22193-1026
Phone number: 571-205-0344
Copy
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