MARYLYN ANN CLARK

PRESCOTT, AZ
NPI1528114451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: AZ  LMFT0053)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC11094)
Enumeration Date2007-01-25
Last Update Date2013-07-02
Business Address
Dr. MARYLYN ANN CLARK Ph D
222 WEST GURLEY ST. SUITE 105
PRESCOTT, AZ 86301-3244
Phone number: 928-778-1806
Mailing Address
Dr. MARYLYN ANN CLARK Ph D
PO BOX 10246 PRESCOTT
PRESCOTT, AZ 86304-0246
Phone number: 928-778-1806