Individual
MRS. RACHEL MAE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
9600 UPLAND LN N, STE 180, MAPLE GROVE, MN 55369-4494
(763) 236-0753
(763) 236-0751
Mailing address
9600 UPLAND LN N, STE 180, MAPLE GROVE, MN 55369-4494
(763) 236-0753
(763) 236-0751
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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