MR. Gregory Allen Clark
NPI #1548736622 in Coralville, Iowa
Provider Information
- NPI Number
- 1548736622
- Entity Type
- Individual
- Name
- MR. Gregory Allen Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Oct 16, 2018
- Last Updated
- Oct 16, 2018
Practice Location
- Address
- 1150 5TH ST STE 270
- City
- Coralville
- State
- Iowa
- ZIP Code
- 52241-2933
- Phone
- (319) 804-9312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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