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1023661956
CAMILLE CLARK
AUSTIN, TX
NPI
1023661956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 81367)
Enumeration Date
2019-07-19
Last Update Date
2019-07-19
Business Address
CAMILLE CLARK
8101 W HIGHWAY 71
AUSTIN, TX 78735-8103
Phone number: 512-537-9071
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Mailing Address
CAMILLE CLARK
4701 STAGGERBRUSH RD APT 633
AUSTIN, TX 78749-1042
Phone number:
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