Individual
ANNE BRADFORD KERLICK CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3415 MATILDA ST, DALLAS, TX 75206-5903
(214) 957-3139
Mailing address
3415 MATILDA ST, DALLAS, TX 75206-5903
(214) 957-3139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
071297
TX
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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