Individual
MRS. PATRICIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1088 WASSERMAN WAY STE C, BATAVIA, OH 45103-1974
(513) 735-8100
Mailing address
2808 LAUREL PT ISABEL RD, MOSCOW, OH 45153-9756
(513) 519-4429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0800303
OH
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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