Individual
GEORGE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7200 FRANCE AVE S STE 100D, EDINA, MN 55435-4308
(763) 202-4767
Mailing address
7200 FRANCE AVE S STE 100D, EDINA, MN 55435-4308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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