MS. Mary Josephine Clark, M.A., L.P.C.

NPI #1063482578 in Kentwood, Michigan

Provider Information

NPI Number
1063482578
Entity Type
Individual
Name
MS. Mary Josephine Clark, M.A., L.P.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
M.A., L.P.C.
Enumeration Date
Jan 25, 2006
Last Updated
May 2, 2017

Practice Location

Address
4835 EASTERN AVE SE
Address 2
SUITE 102
ZIP Code
49508-4729
Phone
(616) 262-9749

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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