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Individual
AMY RENEE BARK
Active
Individual
AMY RENEE BARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CLINICAL
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
6801114253
MI
Other
Enumeration date
09/25/2023
Last updated
03/08/2024
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