KIMBRLEY D CLARK

GRAFTON, OH
NPI1770995961
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  121985)
Enumeration Date2014-05-22
Last Update Date2014-05-22
Business Address
-- KIMBRLEY D CLARK LICDC-CS
2057 S. AVON-BELDEN RD
GRAFTON, OH 44044
Phone number: 440-748-1049
Mailing Address
-- KIMBRLEY D CLARK LICDC-CS
41821 WHITNEY RD
LAGRANGE, OH 44050-9458
Phone number:
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