Individual
MICHELE R CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10200 TWINGATE DR, ALPHARETTA, GA 30022-6312
(404) 406-2844
Mailing address
10200 TWINGATE DR, ALPHARETTA, GA 30022-6312
(404) 406-2844
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001977
GA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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