Ronald L Clark, Msw, Csw, PC

NPI #1285123711 in Oswego, New York

Provider Information

NPI Number: 1285123711
Entity Type: Organization
Organization Name: Ronald L Clark, Msw, Csw, PC
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 10, 2018
Last Updated: May 10, 2018

Practice Location

Address: 106 W UTICA ST STE G
City: Oswego
State: New York
ZIP Code: 13126-3059
Phone: (315) 326-0155

Authorized Official

Name: MR. RONALD L CLARK, LCSW-R
Title: LICENSED CLINICAL SOCIAL WORKER
Phone: (315) 326-0155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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