SHANNEN CLARK

LIVERPOOL, NY
NPI1356980122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-12-27
Last Update Date2020-12-22
Business Address
SHANNEN CLARK Counselor
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088-6285
Phone number: 315-453-3911
Mailing Address
SHANNEN CLARK Counselor
147 CUMBERLAND AVE
SYRACUSE, NY 13210-2211
Phone number:
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