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1003125261
DYNETTA CLARK
GRAND RAPIDS, MI
NPI
1003125261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301012368)
Enumeration Date
2010-10-05
Last Update Date
2010-10-05
Business Address
-- DYNETTA CLARK MA, LLP
805 LEONARD ST NE
GRAND RAPIDS, MI 49503-1138
Phone number: 616-451-2021
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Mailing Address
-- DYNETTA CLARK MA, LLP
1751 KENDALL ST SE
GRAND RAPIDS, MI 49508-3746
Phone number: 616-451-2021
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