Individual
MRS. MARILYN FOSTER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5405 PURLINGTON WAY, BALTIMORE, MD 21212-3406
(410) 435-8683
Mailing address
5405 PURLINGTON WAY, BALTIMORE, MD 21212-3406
(410) 435-0868
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
LC0487
MD
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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