Individual
GAIL M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
278 WILMAS WAY, DOVER, DE 19901-5538
(302) 604-3906
Mailing address
278 WILMAS WAY, DOVER, DE 19901-5538
(302) 604-3906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC-0000366
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000040998
—
DE
Enumeration date
02/07/2007
Last updated
02/20/2023
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