LISA S CLARK

MELBOURNE, FL
NPI1952680324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-08-16
Last Update Date2021-05-27
Business Address
LISA S CLARK
1301 W EAU GALLIE BLVD SUITE 96
MELBOURNE, FL 32935
Phone number: 321-421-6992
Mailing Address
LISA S CLARK
1223 MEADOW LAKE RD
ROCKLEDGE, FL 32955-8403
Phone number: 321-750-4483
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