MR. Ronald Lee Clark, MSW LCSWR

NPI #1972613255 in Oswego, New York

Provider Information

NPI Number: 1972613255
Entity Type: Individual
Name: MR. Ronald Lee Clark, MSW LCSWR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW LCSWR
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 106 W UTICA ST
City: Oswego
State: New York
ZIP Code: 13126-3330
Phone: (315) 326-0155

Specialties & Taxonomy Codes

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

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