Individual
MS. LINDA DIANE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
901 S HAVERHILL RD, 317 W. DORM, EL DORADO, KS 67042-3225
(316) 322-3162
Mailing address
1879 ROAD M, EMPORIA, KS 66801-7962
(620) 342-3033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC #117
KS
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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