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1083173702
KRISTINA M CLARK
CHARLESTON, WV
NPI
1083173702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WV 2398)
Enumeration Date
2019-03-13
Last Update Date
2024-09-05
Business Address
KRISTINA M CLARK LPC
511 MORRIS ST
CHARLESTON, WV 25301-1326
Phone number: 304-525-7851
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Mailing Address
KRISTINA M CLARK LPC
99 CRACKER BARREL DR STE 100
BARBOURSVILLE, WV 25504-1650
Phone number: 304-525-7851
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