Individual
MRS. ELIZABETH JAZZ CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMHC
Contact information
Practice address
1030 5TH AVE SE, CEDAR RAPIDS, IA 52403
(319) 286-4545
Mailing address
1030 5TH AVE SE, CEDAR RAPIDS, IA 52403-2464
(319) 286-4545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
082944
IA
Other
Enumeration date
06/06/2016
Last updated
08/01/2018
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