Gregory James Clark, LCSW-R

NPI #1558449843 in Olean, New York

Provider Information

NPI Number: 1558449843
Entity Type: Individual
Name: Gregory James Clark, LCSW-R
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW-R
Enumeration Date: Nov 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2656 W STATE ST
Address 2: SUITE 506
City: Olean
State: New York
ZIP Code: 14760-1871
Phone: (716) 378-1002

Specialties & Taxonomy Codes

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

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