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1073531125
JOAN MARIE CLARK
BRYAN, TX
NPI
1073531125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 12842)
Enumeration Date
2006-07-17
Last Update Date
2007-07-09
Business Address
Ms. JOAN MARIE CLARK L.P.C.
2402 BROADMOOR DR 101-C
BRYAN, TX 77802-2847
Phone number: 979-774-4134
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Mailing Address
Ms. JOAN MARIE CLARK L.P.C.
PO BOX 826
MONTGOMERY, TX 77356-0826
Phone number: 888-760-1996
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