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Charles William Clark
Psychiatric/Mental Health Registered Nurse in Stow, Ohio
NPI 1235848649

Charles William Clark is a Psychiatric/Mental Health Registered Nurse based in Stow, OH and is specialized in Psychiatric/Mental Health. Charles William Clark practices in Stow, OH. The NPI Number for Charles William Clark is 1235848649 and holds a License No. 406677 (Ohio).

The current practice location address for Charles William Clark is 4175 Chesterland Blvd, Stow, OH and can be reached out via phone at 330-603-4559.

Location: 4175 Chesterland Blvd, Stow, OH, 44224-1820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235848649
Provider Name
Charles William Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
4175 Chesterland Blvd, Stow, OH, 44224-1820
Phone Number
330-603-4559
Fax Number
Provider Enumeration Date
11/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4175 Chesterland Blvd
City
Stow
State
Ohio
Zip
44224-1820
Phone Number
330-603-4559
Fax Number
person
Provider Business Mailing Address Details
Address
4175 Chesterland Blvd
City
Stow
State
Ohio
Zip
44224-1820
Phone Number
330-603-4559
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
406677 (Ohio)
Definition
Definition to come...
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