Organization
M. A. CLARK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANNE CLARK PSY.D (PRESIDENT)
(773) 430-4601
Entity
Organization
Contact information
Practice address
7358 N LINCOLN AVE STE 170, LINCOLNWOOD, IL 60712-1710
(773) 430-4601
Mailing address
7358 N LINCOLN AVE STE 170, LINCOLNWOOD, IL 60712-1710
(773) 430-4601
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006752
IL
Other
Enumeration date
11/27/2007
Last updated
05/03/2024
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