Individual
COURTNEY MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
833 N 26TH ST, MILWAUKEE, WI 53233-1507
(414) 345-6386
Mailing address
1705 17TH AVE, GRAFTON, WI 53024-2030
(715) 966-6221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7192-125
WI
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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