Individual
MR. ROBERT C CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1801 E SAGINAW ST STE 1, LANSING, MI 48912-2326
(517) 285-3332
(517) 507-4888
Mailing address
PO BOX 365, LESLIE, MI 49251-0365
(517) 285-3332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009541
MI
Other
Enumeration date
07/08/2013
Last updated
11/01/2023
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