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1023593571
MARY CLARK
ASHLAND, KY
NPI
1023593571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: KY RBT-20-148671)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-10-01
Last Update Date
2021-04-01
Business Address
MARY CLARK
3701 LANDSDOWNE DR
ASHLAND, KY 41102-5422
Phone number: 606-326-2878
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Mailing Address
MARY CLARK
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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