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1013143577
VIVIENNE VIOLET CLARK
WICHITA, KS
NPI
1013143577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KS 7599)
Enumeration Date
2009-06-10
Last Update Date
2010-09-13
Business Address
Ms. VIVIENNE VIOLET CLARK LMSW
350 N MARKET ST YOUTH SERVICES
WICHITA, KS 67202-2010
Phone number: 316-263-2769
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Mailing Address
Ms. VIVIENNE VIOLET CLARK LMSW
350 N MARKET ST YOUTH SERVICES
WICHITA, KS 67202-2010
Phone number: 316-263-2769
Copy
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