KELLY CLARK

BOONEVILLE, MS
NPI1942605852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  BS Degree)
Enumeration Date2014-11-04
Last Update Date2014-11-04
Business Address
Miss KELLY CLARK
2301 E CHAMBERS DR
BOONEVILLE, MS 38829-8903
Phone number: 662-728-3154
Mailing Address
Miss KELLY CLARK
2301 E CHAMBERS DR
BOONEVILLE, MS 38829-8903
Phone number: 662-728-3154
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