Wanda Mae Clark

NPI #1376866301 in Rockingham, North Carolina

Provider Information

NPI Number: 1376866301
Entity Type: Individual
Name: Wanda Mae Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 4, 2010
Last Updated: Mar 4, 2010

Practice Location

Address: 116 S LAWRENCE ST
City: Rockingham
State: North Carolina
ZIP Code: 28379-3657
Phone: (910) 895-2462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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