Individual
MICHELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1010 EAST AND WEST RD, WEST SENECA, NY 14224-3602
(716) 697-1127
Mailing address
1010 EAST AND WEST RD, WEST SENECA, NY 14224-3602
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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