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1942254560
KENNETH W CLARK
MADISON, WI
NPI
1942254560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 670-057)
Enumeration Date
2006-05-19
Last Update Date
2009-03-20
Business Address
Dr. KENNETH W CLARK Ph.D.
6510 GRAND TETON PLZ SUITE 406
MADISON, WI 53719-1029
Phone number: 608-833-9290
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Mailing Address
Dr. KENNETH W CLARK Ph.D.
6510 GRAND TETON PLZ SUITE 406
MADISON, WI 53719-1029
Phone number: 608-833-9290
Copy
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