Individual
ELISABETH T CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 S MAIN ST, MANHEIM, PA 17545-1602
(717) 665-2675
Mailing address
14 BOURBON RED DR, MECHANICSBURG, PA 17050-7902
(717) 903-1432
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC001265
PA
Other
Enumeration date
01/24/2019
Last updated
01/26/2019
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