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Individual

DR. SONJA DANA CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD, LPCC

Contact information

Practice address
6000 SUMMER NE, ALBUQUERQUE, NM 87110
(505) 710-4323
(505) 265-3844
Mailing address
P.O. BOX 21403, ALBUQUERQUE, NM 87154-1403
(505) 710-4323
(505) 265-3844

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00067412
NM
101YM0800X
Mental Health Counselor
Primary
0067412
NM

Other

Enumeration date
08/09/2006
Last updated
10/08/2009
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