Individual
DR. CARMAN SUZANNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST, LPC
Contact information
Practice address
149 LEE BYRD RD STE 11, LOGANVILLE, GA 30052-2310
(678) 215-7236
Mailing address
149 LEE BYRD RD STE 11, LOGANVILLE, GA 30052-2310
(678) 215-7236
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004465
GA
Other
Enumeration date
10/17/2007
Last updated
08/11/2021
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