Individual
LUCILE JAYNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
3121 UNIVERSITY DR STE 140, AUBURN HILLS, MI 48326-4606
(248) 923-2099
Mailing address
7598 RING NECK DR, WATERFORD, MI 48327-4335
(541) 890-6941
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023284
MI
Other
Enumeration date
03/25/2024
Last updated
07/22/2025
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