Individual
EMILY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3491 GANDY BLVD N, SUITE 201, PINELLAS PARK, FL 33781-2658
(352) 232-3252
Mailing address
3491 GANDY BLVD N, SUITE 201, PINELLAS PARK, FL 33781-2658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/13/2013
Last updated
06/17/2016
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