Search › Michigan › 101YP2500X
Mary Clark, M.A., L.P.C
NPI 1063482578 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4835 Eastern Ave Se
Suite 102
Kentwood, MI 49508 - Phone
- (616) 262-9749
- Fax
- (866) 416-7581
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan