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1114580347
SUSAN CLARK
MARTINSBURG, WV
NPI
1114580347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WV BP00945123)
Enumeration Date
2019-04-14
Last Update Date
2019-04-14
Business Address
SUSAN CLARK CSW
51 STREET OF DREAMS
MARTINSBURG, WV 25403-1134
Phone number: 304-264-1442
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Mailing Address
SUSAN CLARK CSW
34 CLOUSER CT
MARTINSBURG, WV 25405-7581
Phone number:
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