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1972716702
WILLIAM WALTER CLARK
VIENNA, VA
NPI
1972716702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: VA 0810002215)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
DR. WILLIAM WALTER CLARK PHD
2110 GALLOWS RD # B
VIENNA, VA 22182-3962
Phone number: 703-506-8378
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Mailing Address
DR. WILLIAM WALTER CLARK PHD
1514 THURBER ST
HERNDON, VA 20170-2565
Phone number: 703-904-9046
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