Gregory Clark
NPI #1164409728 in Prairie Du Chien, Wisconsin
Provider Information
- NPI Number
- 1164409728
- Entity Type
- Individual
- Name
- Gregory Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 26, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 225 N BEAUMONT RD
- City
- Prairie Du Chien
- State
- Wisconsin
- ZIP Code
- 53821-1445
- Phone
- (563) 252-2537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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