Individual
LAURETTA E CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4068 E PECOS RD, GILBERT, AZ 85295-2529
(480) 279-7321
(480) 279-7305
Mailing address
4068 E PECOS RD, GILBERT, AZ 85295-2529
(480) 279-7321
(480) 279-7305
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Enumeration date
01/22/2008
Last updated
02/11/2008
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