KELLY SUSANN CLARK

NEWPORT, OR
NPI1467186767
Other NameKELLY S FREDERICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-07-12
Last Update Date2023-05-10
Business Address
KELLY SUSANN CLARK
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-0445
Mailing Address
KELLY SUSANN CLARK
65070 E LUPINE DR
RHODODENDRON, OR 97049-9771
Phone number:
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