Individual
DR. CAROL L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
11651 W BISCAYNE CANAL RD, MIAMI, FL 33161-6132
(305) 891-1827
Mailing address
11651 W BISCAYNE CANAL RD, MIAMI, FL 33161-6132
(305) 891-1827
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH3233
FL
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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