Individual
MOLLIE A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 MUNSON CT APT 205, PALM BEACH GARDENS, FL 33410-6771
(561) 670-8992
Mailing address
4400 MUNSON CT APT 205, PALM BEACH GARDENS, FL 33410-6771
(561) 670-8992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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