Marie Clark, M.A., LMFT
NPI #1649541673 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1649541673
- Entity Type
- Individual
- Name
- Marie Clark, M.A., LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- M.A., LMFT
- Enumeration Date
- Jan 23, 2012
- Last Updated
- Jan 23, 2012
Practice Location
- Address
- 141 MARKET PL
- Address 2
- SUITE 206
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2034
- Phone
- (314) 644-1557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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