Individual
HALEY ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
409 IDLEOAK CT, SEVERNA PARK, MD 21146-1669
(714) 403-1523
Mailing address
409 IDLEOAK CT, SEVERNA PARK, MD 21146-1669
(714) 403-1523
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM806
MD
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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