Individual
MRS. ALICIA MAY CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
16401 SOUTHERN BLVD, LOXAHATCHEE, FL 33470-9236
(561) 267-3904
(561) 791-0408
Mailing address
1840 HOLLYHOCK RD, WELLINGTON, FL 33414-8642
(561) 267-3904
(561) 793-6116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11576
FL
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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