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1023840931
PATRICIA CLARK
DAYTON, OH
NPI
1023840931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA189075)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
PATRICIA CLARK CDCA
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 800-829-5461
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Mailing Address
PATRICIA CLARK CDCA
21 HICKORY DR
HARRISON, OH 45030-2804
Phone number:
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