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1104699586
JASON MATTHEW CLARK
HUNTSVILLE, AL
NPI
1104699586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 5478C)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
JASON MATTHEW CLARK LICSW
2708 ATLANTIC ST SW
HUNTSVILLE, AL 35805-4536
Phone number: 256-468-4507
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Mailing Address
JASON MATTHEW CLARK LICSW
2708 ATLANTIC ST SW
HUNTSVILLE, AL 35805-4536
Phone number: 256-468-4507
Copy
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