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Jill Clark

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NPI Number Detailed Information

Provider Information:

Name: Jill Clark
Gender: F
Provider License Number If Given: C-5998

NPI Information:

NPI: 1568684777
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/3/2007

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 1210 BERNA LN
Kettering, OH 45429
Phone Number: 9374356623
Fax Number:

Provider Business Practice Location Address:

Address: 1170 E CENTRAL AVE
West Carrollton, OH 45449
Phone Number: 9378659061
Fax Number: 9378659069

Provider Taxonomy:

Primary: 101Y00000X
Secondary (if any):
State: OH

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About Jill Clark

Jill Clark ( JILL CLARK ) is A Counselor Physician in West Carrollton, OH. The NPI Number for Jill Clark is 1568684777.
The current location address for Jill Clark is 1170 E CENTRAL AVE West Carrollton, OH 45449 and the contact number is 9374356623 and fax number is . The mailing address for Jill Clark is 1210 BERNA LN Kettering, OH 45429- 9378659061 (mailing address contact number - 9374356623).
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jill Clark ?


Answer: The NPI Number for Jill Clark is 1568684777

Where is Jill Clark located?


Answer: Jill Clark is located at 1170 E CENTRAL AVE West Carrollton, OH 45449.

What is the specialty for Jill Clark ?


Answer: The Specialty of Jill Clark is A Counselor Physician.

Are there any online reviews for Jill Clark ?


Answer: Not yet!

Are there any other health care providers in West Carrollton, OH?


Answer: Yes, there are given below...

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