MR. Brian R. Clark, L.P.C.
NPI #1497907190 in Sault Sainte Marie, Michigan
Provider Information
- NPI Number
- 1497907190
- Entity Type
- Individual
- Name
- MR. Brian R. Clark, L.P.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- L.P.C.
- Enumeration Date
- Oct 14, 2008
- Last Updated
- Feb 3, 2016
Practice Location
- Address
- 623 W EASTERDAY AVE
- State
- Michigan
- ZIP Code
- 49783-1625
- Phone
- (906) 635-2752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Social Worker |
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