Individual
FRAN CAROLINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
Mailing address
4695 WILD IRIS DR APT 305, MYRTLE BEACH, SC 29577-8727
(843) 283-5526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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