Individual
KORINN LORRAINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 FAIRMONT AVE, OAKWOOD, OH 45419-1510
(516) 270-5233
Mailing address
2512 FAIRMONT AVE, OAKWOOD, OH 45419-1510
(516) 270-5233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1567353221
NY
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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