Individual
KALEY MAE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMHC
Contact information
Practice address
514 CHESTNUT ST, ATLANTIC, IA 50022-1248
(712) 249-2904
Mailing address
1608 LOMAS CIR, ATLANTIC, IA 50022-2733
(712) 249-2904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
095649
IA
Other
Enumeration date
12/23/2019
Last updated
10/19/2023
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