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Organization

KAREN NOELLE CLARK, PHD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAREN NOELLE CLARK PHD (INDEPENDENT PSYCHOLOGIST)
(248) 909-2203
Entity
Organization

Contact information

Practice address
26677 W 12 MILE RD, SOUTHFIELD, MI 48034-1514
(248) 909-2203
Mailing address
PO BOX 2206, SOUTHFIELD, MI 48037-2206
(248) 909-2203

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
02/28/2019
Last updated
02/28/2019
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