Individual
MRS. LAURA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MAC
Contact information
Practice address
2621 VICTORY PKWY, CINCINNATI, OH 45206-1754
(513) 684-7968
Mailing address
2600 VICTORY PKWY, CINCINNATI, OH 45206-1711
(513) 751-7747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1700530
OH
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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