Individual
MARLO CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
711 LINWOOD AVE, DURHAM, NC 27701-4429
(919) 225-1460
Mailing address
711 LINWOOD AVE, DURHAM, NC 27701-4429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/13/2024
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