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1073298790
SHAWN W CLARK
JACKSONVILLE, FL
NPI
1073298790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH20786)
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
Mr. SHAWN W CLARK
555 STOCKTON ST
JACKSONVILLE, FL 32204-2534
Phone number: 904-387-4661
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Mailing Address
Mr. SHAWN W CLARK
555 STOCKTON ST
JACKSONVILLE, FL 32204-2534
Phone number: 904-387-4661
Copy
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