Individual
MS. MARSHA J CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.L.C.P.
Contact information
Practice address
7804 FRANCIS CT, 220, LANSING, MI 48917-7769
(517) 242-7190
Mailing address
PO BOX 616, DEWITT, MI 48820-0616
(517) 242-7190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011466
MI
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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