Individual
HAYLEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2961 YARMOUTH GREENWAY DR STE 2, FITCHBURG, WI 53711
(608) 316-1180
Mailing address
2961 YARMOUTH GREENWAY DR STE 2, FITCHBURG, WI 53711-5809
(608) 316-1180
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1099-124
WI
Other
Enumeration date
09/05/2014
Last updated
06/14/2019
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