Most Relevant Information
Provider Data
| NPI Number: | 1003314022 |
| Provider Name: | SARAH MARIE CLARK COUNSELOR TRAINEE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | C1800807TRNE |
Most Important Dates
| Enumeration Date: | 01/24/2018 |
| Last Updated: | 01/24/2018 |
Provider Practice Location
5050 MADISON RD
CINCINNATI
OH
452271491
Practice Location Phone/Fax
| Phone: | 5132722800 |
| Fax: |
Provider Mailing Location
6674 PLANTATION WAY
CINCINNATI
OH
452241255
Provider Mailing Phone/Fax
| Phone: | 5135323271 |
| Fax: |