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1063403822
JEFFREY P. CLARK
SHERIDAN, WY
NPI
1063403822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WY 409)
Enumeration Date
2005-11-02
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY P. CLARK Psy.D.
339 W LOUCKS ST
SHERIDAN, WY 82801-4121
Phone number: 307-674-4462
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Mailing Address
Dr. JEFFREY P. CLARK Psy.D.
1969 S SHERIDAN AVE
SHERIDAN, WY 82801-6108
Phone number: 307-672-7481
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