Walter Leland Clark

NPI #1043875511 in Indiana, Pennsylvania

Provider Information

NPI Number: 1043875511
Entity Type: Individual
Name: Walter Leland Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 9, 2019
Last Updated: May 9, 2019

Practice Location

Address: 793 OLD ROUTE 119 HWY NORTH
City: Indiana
State: Pennsylvania
ZIP Code: 15701
Phone: (724) 465-5576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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