LEXI CLARK

VIENNA, IL
NPI1417487398
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-06-14
Last Update Date2017-06-14
Business Address
LEXI CLARK BS MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
Mailing Address
LEXI CLARK BS MHP
PO BOX 1328
VIENNA, IL 62995-1328
Phone number: 618-658-3079
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