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Grant Clark Clark
NPI 1184596793 · on the registry since 2025
Practice
- Address
- 1250 W Wisconsin Ave
Milwaukee, WI 53233 - Phone
- (800) 222-6544
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Sex
- Male
- Record last updated
- 2025-09-22
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