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Individual

SELENA NICOLE CHRISTINE CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ALC

Contact information

Practice address
623 WALNUT ST, GADSDEN, AL 35901-4136
(256) 673-4346
Mailing address
2114 KILPATRICK LN NW, CULLMAN, AL 35058-1856
(256) 706-9855

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ACC05193
AL

Other

Enumeration date
01/30/2025
Last updated
02/11/2025
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