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1043875511
WALTER LELAND CLARK
INDIANA, PA
NPI
1043875511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-09
Last Update Date
2019-05-09
Business Address
WALTER LELAND CLARK
793 OLD ROUTE 119 HWY NORTH
INDIANA, PA 15701
Phone number: 724-465-5576
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Mailing Address
WALTER LELAND CLARK
793 OLD ROUTE 119 HWY NORTH
INDIANA, PA 15701
Phone number: 724-465-5576
Copy
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