Individual
MS. CHRISTINE MICHELLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6321 TERRA ROSA CIR, BOYNTON BEACH, FL 33472-5144
(561) 374-1893
Mailing address
6321 TERRA ROSA CIR, BOYNTON BEACH, FL 33472-5144
(561) 374-1893
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH15114
FL
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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