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1053558205
THOMAS EDWARD CLARK
ALBANY, NY
NPI
1053558205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 56783)
Enumeration Date
2009-01-09
Last Update Date
2014-09-05
Business Address
Mr. THOMAS EDWARD CLARK LMFT, LMFT
980 WESTERN AVENUE
ALBANY, NY 12202
Phone number: 518-662-0621
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Mailing Address
Mr. THOMAS EDWARD CLARK LMFT, LMFT
980 WESTERN AVENUE
ALBANY, NY 12202
Phone number: 518-662-0621
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