JEAN K CLARK

ROCKFORD, IL
NPI1174608681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180000216)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
-- JEAN K CLARK LCPC
MANHATTAN COUNSELING CENTER 4751 MANHATTAN DR
ROCKFORD, IL 61108-2264
Phone number: 815-720-4960
Mailing Address
-- JEAN K CLARK LCPC
526 W STATE STREET
ROCKFORD, IL 61101-1214
Phone number: 815-968-9300
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