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Individual

MONICA CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1635 POPPS FERRY RD, BILOXI, MS 39532-2312
(228) 207-0735
Mailing address
14024 DUNDEE CV, GULFPORT, MS 39503-4869
(228) 326-7687

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/16/2018
Last updated
07/16/2018
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