MISS Kelly Clark

NPI #1942605852 in Booneville, Mississippi

Provider Information

NPI Number
1942605852
Entity Type
Individual
Name
MISS Kelly Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Nov 4, 2014
Last Updated
Nov 4, 2014

Practice Location

Address
2301 E CHAMBERS DR
ZIP Code
38829-8903
Phone
(662) 728-3154

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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