Winnifred D Clark

NPI #1164556965 in Wickenburg, Arizona

Provider Information

NPI Number: 1164556965
Entity Type: Individual
Name: Winnifred D Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - School
Enumeration Date: Mar 15, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 920 S. VULTURE MINE ROAD
Address 2: SPECIAL SERVICE
City: Wickenburg
State: Arizona
ZIP Code: 85390
Phone: (928) 684-6714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - School — School	101YS0200X	Primary

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