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Individual

EMILEE RAE CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LGPC

Contact information

Practice address
7310 RITCHIE HWY STE 1009, GLEN BURNIE, MD 21061-3398
(410) 768-5988
Mailing address
20 SOMERSET RD, CATONSVILLE, MD 21228-1938
(717) 658-5559

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15894
MD

Other

Enumeration date
02/10/2025
Last updated
02/10/2025
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