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Gregory Clark
NPI 1164409728 · on the registry since 2005
Practice
- Address
- 225 N Beaumont Rd
Prairie Du Chien, WI 53821 - Phone
- (563) 252-2537
- Fax
- (608) 326-0420
- Organisation at this address
- County Of Crawford
County Of Crawford
County Of Crawford
County Of Crawford
Crawford County CcsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin