Individual
CYNTHIA YVETTE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 CONNER ST BLDG A, DETROIT, MI 48215-2407
(313) 308-1400
Mailing address
2900 CONNER ST BLDG A, DETROIT, MI 48215-2407
(313) 308-1400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017464
MI
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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