VIRGINIA GAYLE CLARK

ODESSA, TX
NPI1730342049
Other NameGENNA GAYLE CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: TX  13499)
Enumeration Date2008-07-07
Last Update Date2008-07-07
Business Address
-- VIRGINIA GAYLE CLARK LPC
4661 FOUNTAIN LN
ODESSA, TX 79761-1912
Phone number: 432-550-4089
Mailing Address
-- VIRGINIA GAYLE CLARK LPC
4661 FOUNTAIN LANE
ODESSA, TX 79761
Phone number: 432-550-4089