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1093923641
DELORES CLARK
DETROIT, MI
NPI
1093923641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- DELORES CLARK
13929 HARPER AVE
DETROIT, MI 48213-3672
Phone number: 313-371-0055
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Mailing Address
-- DELORES CLARK
14667 CEDARGROVE ST
DETROIT, MI 48205-3609
Phone number: 313-717-1988
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