Mr. Jerry Lee Clark, MHS
Mr. Jerry Lee Clark, MHS is a Counselor in Phila, Pennsylvania. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
112 N Broad St Rm 821Phila, PA 19102-1510
Phone: (215) 568-0860
Fax: (215) 568-0769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1356521371 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MHS |
| Sole proprietor | No |
| NPI enumerated | November 7, 2007 |
| Last updated in NPPES | November 7, 2007 |
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