Individual provider · Type 1 NPI
Grace D. Clark, PhD
Pastoral Counselor · Bowie, MD
NPI number
1982027728
Active
Practice location
11205 Lake Victoria Ln
Bowie, MD 20720-4262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | CL 73048 (FL) |
Pastoral Counselor: Definition to come...
Another provider at this address
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About NPI 1982027728
Grace D. Clark, PhD's National Provider Identifier is 1982027728, issued on Jan 30, 2014. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Bowie, MD. The record was last updated on Jan 30, 2014.