Robert Marc Clark, LCSW LICENSED CLINIC

NPI #1609932490 in Pendleton, Oregon

Provider Information

NPI Number
1609932490
Entity Type
Individual
Name
Robert Marc Clark, LCSW LICENSED CLINIC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW LICENSED CLINIC
Enumeration Date
Dec 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
200 SE HAILEY AVE
Address 2
SUITE 301
State
Oregon
ZIP Code
97801-1329
Phone
(541) 276-4017

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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