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John Clark, LICSW
NPI 1285856559 · on the registry since 2007
Practice
- Address
- 1845 University Avenue West
St. Paul, MN 55104 - Phone
- (651) 644-2600
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MN
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 Minnesota