Individual
MS. ADRIA MICHELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
500 E POTTAWATAMIE ST, TECUMSEH, MI 49286-2018
(517) 424-3337
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(419) 824-7250
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801090664
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383049015
BEACON HEALTH OPTIONS
MI
Enumeration date
09/03/2008
Last updated
03/17/2018
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