Sherri Evelyn-leilani Clark LADC

NPI 1427230978 - Counselor - 101YA0400X

NPI Details
NPI 1427230978
Gender Female
Enumeration Date 11/27/2007
Last Updated 11/27/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1700 BROADWAY ST STE 2
ALEXANDRIA MN, 56308-2792, US
Phone (320) 763-0124
Fax (320) 763-0126
Business Location
1700 BROADWAY, SUITE 2
ALEXANDRIA MN, 56308, US
Phone (320) 763-0124
Fax (320) 763-0126
Toxanomy
Taxonomy Code 101YA0400X
License State Minnesota
License Number 302163
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According to our database, Sherri Evelyn-leilani Clark LADC NPI is 1427230978, taxonomy code is 101YA0400X and license number is 302163, license state is located at Minnesota. Sherri Evelyn-leilani Clark LADC physically located at 1700 Broadway St Ste 2, Alexandria MN, 56308-2792. NPI Number Sherri Evelyn-leilani Clark LADC has the Individual type.

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1427230978 NPI number is provided on an as is basis without warranty of any kind. 1427230978 is maintained by the National Plan & Provider Enumeration System. The contents of Sherri Evelyn-leilani Clark LADC are for informational purposes only.