MR. Michael Clarke, LCSW

NPI #1972620466 in Patton, California

Provider Information

NPI Number: 1972620466
Entity Type: Individual
Name: MR. Michael Clarke, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Mar 22, 2007
Last Updated: Nov 15, 2016

Practice Location

Address: 3102 E. HIGHLAND AVENUE
Address 2: MEDICAL STAFF OFFICE
City: Patton
State: California
ZIP Code: 92369
Phone: (909) 425-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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