| Ronald L Clark, Msw, Csw, Pc | |
|
106 W Utica St Ste G Oswego NY 13126-3059 | |
| (315) 326-0155 | |
| Not Available |
| Full Name | Ronald L Clark, Msw, Csw, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 106 W Utica St Ste G, Oswego, New York |
| Authorized Official Name and Position | Ronald L Clark (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3153260155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald L Clark, Msw, Csw, Pc 177 E 8th St Oswego NY 13126-3330 Ph: () - | Ronald L Clark, Msw, Csw, Pc 106 W Utica St Ste G Oswego NY 13126-3059 Ph: (315) 326-0155 |
| NPI Number | 1285123711 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285123711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R053849 (New York) | Primary |
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