Individual
MRS. HEATHER WINONA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
14377 WOODLAKE DR, SUITE 308, CHESTERFIELD, MO 63017-5735
(314) 576-6493
(314) 576-7319
Mailing address
14377 WOODLAKE DR, SUITE 308, CHESTERFIELD, MO 63017-5735
(314) 576-6493
(314) 576-7319
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006036523
MO
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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