Individual
SALLY CLARK GEX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PARK CIRCLE DR, SUITE 1, FLOWOOD, MS 39232-7628
(601) 664-0455
Mailing address
200 PARK CIRCLE DR, SUITE 1, FLOWOOD, MS 39232-7628
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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