Individual
SANNA J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
4440 CANAL ST, NEW ORLEANS, LA 70119-5947
(504) 270-9618
Mailing address
1303 S RIDGE DR, MANDEVILLE, LA 70448-1021
(985) 502-1032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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