Susan Marie Clark PH.D

NPI 1154590073 - Counselor - 101YM0800X

NPI Details
NPI 1154590073
Gender Female
Enumeration Date 02/25/2008
Last Updated 01/05/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
10 WILSON RD
STOCKBRIDGE GA, 30281-4468, US
Phone (678) 438-4225
Fax (770) 506-8663
Business Location
10 WILSON RD
STOCKBRIDGE GA, 30281-4468, US
Phone (678) 438-4225
Fax (770) 506-8663
Toxanomy
Taxonomy Code 101YM0800X
License State Georgia
License Number LPC005485
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According to our database, Dr. Susan Marie Clark PH.D NPI is 1154590073, taxonomy code is 101YM0800X and license number is LPC005485, license state is located at Georgia. Susan Marie Clark PH.D physically located at 10 Wilson Rd, Stockbridge GA, 30281-4468. NPI Number Susan Marie Clark PH.D has the Individual type.

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1154590073 NPI number is provided on an as is basis without warranty of any kind. 1154590073 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Marie Clark PH.D are for informational purposes only.