Individual
DENICE CROWE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1201 PEACHTREE ST, SUITE 200, ATLANTA, GA 30361-3503
(478) 297-8262
Mailing address
1101 JUNIPER ST NE APT 719, ATLANTA, GA 30309-7659
(478) 297-8262
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001290
GA
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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