Individual
KAREN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
720 W WACKERLY ST, SUITE 4, MIDLAND, MI 48640-2769
(989) 832-2165
(989) 839-4376
Mailing address
720 W WACKERLY ST, SUITE 4, MIDLAND, MI 48640-2769
(989) 832-2165
(989) 839-4376
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007795
MI
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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