Individual
DENISE MONIQUE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
1030 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2921
(404) 486-9034
Mailing address
706 SOUTHLAND PASS, STONE MOUNTAIN, GA 30087-4918
(662) 374-3429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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