KELLY S. CLARK

IRONTON, OH
NPI1730690967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LCDCII.161468)
Enumeration Date2017-10-16
Last Update Date2018-09-07
Business Address
KELLY S. CLARK LCDCII
700 PARK AVE
IRONTON, OH 45638
Phone number: 740-532-1613
Mailing Address
KELLY S. CLARK LCDCII
PO BOX 108
IRONTON, OH 45638-0108
Phone number: 740-532-1613
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