Fawn M. Clark

NPI #1205159779 in New Kensington, Pennsylvania

Provider Information

NPI Number: 1205159779
Entity Type: Individual
Name: Fawn M. Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 11, 2010
Last Updated: Mar 11, 2010

Practice Location

Address: 3 KENSINGTON SQUARE
Address 2: SUITE B
City: New Kensington
State: Pennsylvania
ZIP Code: 15068
Phone: (724) 335-9733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Marriage & Family Therapist	106H00000X

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