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1962231795
BENJAMIN ALEX CLARK
PHOENIX, AZ
NPI
1962231795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: AZ LCSW-22348)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
BENJAMIN ALEX CLARK LCSW
4525 N CENTRAL AVE
PHOENIX, AZ 85012-1889
Phone number: 602-764-7818
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Mailing Address
BENJAMIN ALEX CLARK LCSW
4637 N 9TH ST
PHOENIX, AZ 85014-3813
Phone number: 617-309-0232
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