Individual
MRS. MARY L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2911 ZELDA RD, MONTGOMERY, AL 36106-2648
(334) 262-7787
(334) 262-7795
Mailing address
105 CLEVELAND CT, GADSDEN, AL 35901-4116
(256) 613-8830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2887
AL
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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