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1104546753
TAYLOR CLARK
SAN ANTONIO, TX
NPI
1104546753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 83790)
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
TAYLOR CLARK LPC
4211 GARDENDALE ST STE 104A
SAN ANTONIO, TX 78229-3143
Phone number: 903-952-1201
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Mailing Address
TAYLOR CLARK LPC
7711 CALLAGHAN RD APT 501
SAN ANTONIO, TX 78229-2331
Phone number: 903-952-1201
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