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Walter Leland Clark
Mental Health Counselor in Indiana, Pennsylvania
NPI 1043875511

Walter Leland Clark is a Mental Health Counselor based in Indiana, PA and is specialized in Mental Health. Walter Leland Clark practices in Indiana, PA. The NPI Number for Walter Leland Clark is 1043875511 and holds a License No. (Pennsylvania).

The current practice location address for Walter Leland Clark is 793 Old Route 119 Hwy North, Indiana, PA and can be reached out via phone at 724-465-5576.

Location: 793 Old Route 119 Hwy North, Indiana, PA, 15701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043875511
Provider Name
Walter Leland Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
793 Old Route 119 Hwy North, Indiana, PA, 15701
Phone Number
724-465-5576
Fax Number
Provider Enumeration Date
05/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
793 Old Route 119 Hwy North
City
Indiana
State
Pennsylvania
Zip
15701
Phone Number
724-465-5576
Fax Number
person
Provider Business Mailing Address Details
Address
793 Old Route 119 Hwy North
City
Indiana
State
Pennsylvania
Zip
15701
Phone Number
724-465-5576
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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