Search › West Virginia › 101YP2500X
Fred Clark, LSW
NPI 1992894992 · on the registry since 2006
Practice
- Address
- 1020 Grosscup Ave
Dunbar, WV 25064 - Phone
- (304) 525-7851
- Fax
- (304) 525-1073
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 1041C0700X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-27
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 West Virginia