Individual
DONNA J CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
59 KATE WAGNER RD, WESTMINSTER, MD 21157-6957
(410) 848-2500
Mailing address
59 KATE WAGNER RD, WESTMINSTER, MD 21157-6957
(410) 848-2500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8204
MD
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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