Diane M Clark LPC

NPI 1669612644 - Counselor - 101YP2500X

NPI Details
NPI 1669612644
Gender Female
Enumeration Date 03/03/2009
Last Updated 03/03/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1557 BRANDON SQ
LAWRENCEVILLE GA, 30044-3016, US
Phone (770) 283-7042
Fax
Business Location
1557 BRANDON SQ
LAWRENCEVILLE GA, 30044-3016, US
Phone (770) 283-7042
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number LPC004915
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According to our database, Dr. Diane M Clark LPC NPI is 1669612644, taxonomy code is 101YP2500X and license number is LPC004915, license state is located at Georgia. Diane M Clark LPC physically located at 1557 Brandon Sq, Lawrenceville GA, 30044-3016. NPI Number Diane M Clark LPC has the Individual type.

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1669612644 NPI number is provided on an as is basis without warranty of any kind. 1669612644 is maintained by the National Plan & Provider Enumeration System. The contents of Diane M Clark LPC are for informational purposes only.