Individual
MARISSA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
2827 FORT MISSOULA RD., SUITE 317, MISSOULA, MT 59804
(406) 327-3924
(406) 327-3923
Mailing address
4804 HOBLITT LN S, FLORENCE, MT 59833-6832
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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