Individual
RENEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6440 DOBBIN RD, COLUMBIA, MD 21045-4770
(410) 730-2385
Mailing address
8167A EDGE ROCK WAY, LAUREL, MD 20724-6093
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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