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Individual

MRS. CAROLYN ANN CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC, NCSC

Contact information

Practice address
100 E HEARNE ST, ALBEMARLE, NC 28001-5831
(704) 983-3916
Mailing address
608 CHANNING CIR NW, CONCORD, NC 28027-8528
(704) 785-9134

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
11245
NC

Other

Enumeration date
02/11/2008
Last updated
02/11/2008
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