TODD CLARK

WINSTON-SALEM, NC
NPI1831311406
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: NC  2636)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- TODD CLARK LPC
3821 FORRESTGATE DRIVE DBA FORSYTH BEHAVIOR HEALTH
WINSTON-SALEM, NC 27103
Phone number: 336-277-1811
Mailing Address
-- TODD CLARK LPC
2000 FRONTIS PLAZA BLVD SUITE 200 (FORSYTH MEDICAL GROUP)
WINSTON-SALEM, NC 27103-5616
Phone number: 336-277-2435
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