Fredrick Clark
Fredrick Clark is a Social Worker in Fairburn, Georgia. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
205 Crusader PlFairburn, GA 30213-4339
Phone: (678) 543-2209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1306490495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 28, 2019 |
| Last updated in NPPES | July 28, 2019 |
| Mailing address | 205 Crusader Pl, Fairburn, GA 30213-4339 |
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