Individual
MOLLY ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
560 W MITCHELL ST STE 250, PETOSKEY, MI 49770-2277
(123) 487-3277
(231) 487-6167
Mailing address
560 W MITCHELL ST STE 250, PETOSKEY, MI 49770-2277
(123) 487-3277
(231) 487-6167
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
10/16/2018
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