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1043251259
HEATHER AMY CLARK
BAY SHORE, NY
NPI
1043251259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 000547-1)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
Ms. HEATHER AMY CLARK MA
1555 SUNRISE HWY
BAY SHORE, NY 11706-6027
Phone number: 631-666-1615
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Mailing Address
Ms. HEATHER AMY CLARK MA
59 THREEPENCE DR
MELVILLE, NY 11747-4024
Phone number: 516-852-3265
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