SUSAN MARIE CLARK

STOCKBRIDGE, GA
NPI1154590073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: GA  LPC005485)
Additional Taxonomies101YM0800X Counselor Mental Health
(Licence: GA  LPC005485)
101YP1600X Counselor Pastoral
(Licence: GA  LPC005485)
Enumeration Date2008-02-25
Last Update Date2009-01-05
Business Address
DR. SUSAN MARIE CLARK PH.D
10 WILSON RD
STOCKBRIDGE, GA 30281-4468
Phone number: 678-438-4225
Mailing Address
DR. SUSAN MARIE CLARK PH.D
10 WILSON RD
STOCKBRIDGE, GA 30281-4468
Phone number: 678-438-4225