Colton L Clark
Colton L Clark is a Social Worker in Grand Rapids, Michigan. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
825 Leonard St NEGrand Rapids, MI 49503-1177
Phone: (616) 200-4441
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1114637097 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 1, 2022 |
| Last updated in NPPES | December 1, 2022 |
| Certification date | December 1, 2022 |
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