MR. Steven W. Clark, CAMF, COAMF, CDVF

NPI #1962786160 in Brooklyn Center, Minnesota

Provider Information

NPI Number: 1962786160
Entity Type: Individual
Name: MR. Steven W. Clark, CAMF, COAMF, CDVF
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: CAMF, COAMF, CDVF
Enumeration Date: Oct 6, 2011
Last Updated: Oct 6, 2011

Practice Location

Address: 3300 BASS LAKE ROAD
Address 2: SUITE 314
City: Brooklyn Center
State: Minnesota
ZIP Code: 55429
Phone: (763) 913-0130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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