Reonee Shanta Clark

NPI #1780287797 in Columbus, Mississippi

Provider Information

NPI Number
1780287797
Entity Type
Individual
Name
Reonee Shanta Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Nov 20, 2020
Last Updated
Nov 20, 2020

Practice Location

Address
2623 5TH ST N
ZIP Code
39705-2009
Phone
(662) 241-7097

Specialties & Taxonomy Codes

Specialty
Counselor

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