Individual
MARY ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
7358 N LINCOLN AVE STE 170, LINCOLNWOOD, IL 60712-1710
(773) 430-4601
Mailing address
7358 N LINCOLN AVE STE 170, LINCOLNWOOD, IL 60712-1710
(773) 430-4601
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/09/2006
Last updated
05/03/2024
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