Individual
DEMEATRIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LCAS-A
Contact information
Practice address
7925 N TRYON ST, CHARLOTTE, NC 28262-3408
(704) 706-5652
Mailing address
8912 MCMILLIAN DR, HARRISBURG, NC 28075-8654
(980) 613-2397
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/21/2014
Last updated
01/05/2017
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