Individual
MS. KATHERINE H. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. VOC REHAB
Contact information
Practice address
5TH AVE & ROOSEVELT RD, EDWARD HINES JR VA HOSPITAL 116A6, HINES, IL 60141
(708) 202-7122
Mailing address
311 N WAIOLA AVE, LA GRANGE PARK, IL 60526-1823
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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