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1043777204
ERIC CLARK
COLUMBIA, SC
NPI
1043777204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SC 12799)
Enumeration Date
2019-02-25
Last Update Date
2019-02-25
Business Address
Mr. ERIC CLARK
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9300
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Mailing Address
Mr. ERIC CLARK
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9300
Copy
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