Individual
MRS. MARY ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8634 OAKSIDE AVE, COMMERCE TOWNSHIP, MI 48382-3763
(248) 770-5940
Mailing address
8634 OAKSIDE AVE, COMMERCE TOWNSHIP, MI 48382-3763
(248) 770-5940
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
9649
MI
Other
Enumeration date
04/13/2013
Last updated
04/13/2013
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