ANTIONETTE K CLARK

VICKSBURG, MS
NPI1588943161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-08-12
Last Update Date2011-08-12
Business Address
-- ANTIONETTE K CLARK
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
Mailing Address
-- ANTIONETTE K CLARK
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number:
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