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
- City
- Booneville
- State
- Mississippi
- ZIP Code
- 38829-8903
- Phone
- (662) 728-3154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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