Individual
CLUTESE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 LENOX POINTE NE, ATLANTA, GA 30324-3102
(678) 763-4975
Mailing address
904 MELISSA BELLE CT, ELLENWOOD, GA 30294-4537
(678) 763-4975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014565
GA
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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