Paul R Clark, LPC
NPI #1285964163 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1285964163
- Entity Type
- Individual
- Name
- Paul R Clark, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- LPC
- Enumeration Date
- Dec 28, 2009
- Last Updated
- Dec 28, 2009
Practice Location
- Address
- 430 E DIVISION ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4560
- Phone
- (920) 926-4200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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