Individual
ALETHEA ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N4762 STATE ROAD 25, MENOMONIE, WI 54751-7414
(715) 231-2010
Mailing address
N4762 STATE ROAD 25, MENOMONIE, WI 54751-7414
(715) 231-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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