LINCOLIN HENRY CLARK

DETROIT, MI
NPI1760500623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-27
Last Update Date2007-07-26
Business Address
Mr. LINCOLIN HENRY CLARK FAODP
514 ALGER ST
DETROIT, MI 48202-2106
Phone number: 313-871-9940
Mailing Address
Mr. LINCOLIN HENRY CLARK FAODP
925 WHITMORE RD APT A1
DETROIT, MI 48203-1749
Phone number: 313-399-3727
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