Individual
RANDI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
439 EDGAR ST, MARKSVILLE, LA 71351-2815
(318) 359-8949
Mailing address
439 EDGAR ST, MARKSVILLE, LA 71351-2815
(318) 359-8949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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