Individual
MR. LINCOLIN HENRY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FAODP
Contact information
Practice address
514 ALGER ST, DETROIT, MI 48202-2106
(313) 871-9940
Mailing address
925 WHITMORE RD APT A1, DETROIT, MI 48203-1749
(313) 399-3727
(313) 871-0040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
03/27/2007
Last updated
07/26/2007
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