Individual
MISS HALLEY LYNN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9280
(614) 875-2371
Mailing address
2353 INDIANOLA AVE, COLUMBUS, OH 43202-3031
(614) 440-0705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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