Organization
SHEILA CLARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA MARIE CLARK LCDC III (CHEMICAL DEPENDENCY COUNSELOR)
(419) 722-8932
Entity
Organization
Contact information
Practice address
267 W CENTER ST APT 602, MARION, OH 43302-3679
(419) 722-8932
Mailing address
267 W CENTER ST APT 602, MARION, OH 43302-3679
(419) 722-8932
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
011031
OH
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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