ANGEL SHANNON CLARK

JOHNSON CITY, TN
NPI1649394172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
ANGEL SHANNON CLARK MA
109 W WATAUGA AVE
JOHNSON CITY, TN 37604-5621
Phone number: 423-232-2600
Mailing Address
ANGEL SHANNON CLARK MA
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600