| Sheila Clark | |
|
267 W Center St Apt 602 Marion OH 43302-3679 | |
| (419) 722-8932 | |
| Not Available |
| Full Name | Sheila Clark |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 267 W Center St Apt 602, Marion, Ohio |
| Authorized Official Name and Position | Sheila Marie Clark (CHEMICAL DEPENDENCY COUNSELOR) |
| Authorized Official Contact | 4197228932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheila Clark 267 W Center St Apt 602 Marion OH 43302-3679 Ph: (419) 722-8932 | Sheila Clark 267 W Center St Apt 602 Marion OH 43302-3679 Ph: (419) 722-8932 |
| NPI Number | 1548701956 |
|---|---|
| Provider Enumeration Date | 03/17/2017 |
| Last Update Date | 03/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548701956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 011031 (Ohio) | Primary |
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