Individual
ALEXA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 S BROADWAY # 3324, LORAIN, OH 44053-3891
(440) 233-7232
(440) 204-4315
Mailing address
6140 S BROADWAY # 3324, LORAIN, OH 44053-3891
(440) 233-7232
(440) 204-4315
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2507185
OH
Other
Enumeration date
07/25/2024
Last updated
06/09/2025
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