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Individual

TENORA CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16647 WOMING, DETROIT, MI 48221-2848
(313) 342-3606
(313) 861-0413
Mailing address
16647 WOMING, DETROIT, MI 48221-2848
(313) 342-3606
(313) 861-0413

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
08/04/2015
Last updated
08/04/2015
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