Individual
MR. JAMIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
4 SHARON RD, ENOLA, PA 17025-1823
(717) 728-1914
Mailing address
5351C JAYCEE AVE, SUITE 1, HARRISBURG, PA 17112-2997
(717) 657-2080
(717) 657-2290
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/20/2007
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