Individual
MARIAH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GC
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-9723
Mailing address
111 E 18TH ST APT 344, NORFOLK, VA 23517-0050
(540) 294-0791
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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