Jeanetta Clark

NPI #1003298639 in Tullahoma, Tennessee

Provider Information

NPI Number
1003298639
Entity Type
Individual
Name
Jeanetta Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - School
Enumeration Date
Jun 19, 2015
Last Updated
Jun 19, 2015

Practice Location

Address
1803 N. JACKSON ST
Address 2
CENTERSTONE OF TENNESSEE
ZIP Code
37388
Phone
(615) 463-6643

Specialties & Taxonomy Codes

Specialty
Counselor - SchoolSchool

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