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1013642719
NOEL CLARK
JACKSONVILLE, FL
NPI
1013642719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH20953)
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
NOEL CLARK
9684 STANFORD BRIDGE DR
JACKSONVILLE, FL 32221-3207
Phone number: 904-305-2996
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Mailing Address
NOEL CLARK
9684 STANFORD BRIDGE DR
JACKSONVILLE, FL 32221-3207
Phone number: 904-305-2996
Copy
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