Individual
ANDREA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
952 LONDON CT, CINCINNATI, OH 45245-2551
(513) 739-4136
Mailing address
952 LONDON CT, CINCINNATI, OH 45245-2551
(513) 739-4136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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