Individual
JILL B. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5123 OLD PLANK RD, ONONDAGA, MI 49264-9707
(517) 628-2287
(517) 628-3421
Mailing address
5123 OLD PLANK RD, ONONDAGA, MI 49264-9707
(517) 628-2287
(517) 628-3421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801078236
MI
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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