Individual
DR. STEPHEN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3000 CHESTNUT AVE, SUITE 204, BALTIMORE, MD 21211-2727
(410) 303-8201
Mailing address
3000 CHESTNUT AVE, SUITE 204, BALTIMORE, MD 21211-2727
(410) 303-8201
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LC4084
MD
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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