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1033230313
KATTIE CLARK
MEMPHIS, TN
NPI
1033230313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-04-03
Last Update Date
2008-03-03
Business Address
Ms. KATTIE CLARK BA
3810 WINCHESTER RD SOUTHEAST MENTAL HEALTH CENTER
MEMPHIS, TN 38118-6045
Phone number: 901-369-1420
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Mailing Address
Ms. KATTIE CLARK BA
5261 APOLLO ST
MEMPHIS, TN 38116-9453
Phone number: 901-345-8805
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