Individual
KORINNE L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LPCC
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2203025
OH
Other
Enumeration date
10/22/2012
Last updated
08/01/2022
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