JASON CLARK

CHICAGO, IL
NPI1033727425
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-07-21
Last Update Date2020-07-21
Business Address
JASON CLARK
2451 N LINCOLN AVE SIDE 2
CHICAGO, IL 60614-4170
Phone number: 773-469-6675
Mailing Address
JASON CLARK
1166 SILVERWOOD CT APT D1
WHEELING, IL 60090-2431
Phone number: 847-951-1961
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