LEESA G CLARK

LORAIN, OH
NPI1447610910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  ICDC.081105)
Enumeration Date2016-02-26
Last Update Date2016-07-07
Business Address
-- LEESA G CLARK LICDC
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4987
Mailing Address
-- LEESA G CLARK LICDC
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4987
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