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1124463450
CARMEN MICHELLE CLARK
CRESTWOOD, KY
NPI
1124463450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2013-04-30
Last Update Date
2013-04-30
Business Address
Mrs. CARMEN MICHELLE CLARK
7302 MEADOW RD
CRESTWOOD, KY 40014-9453
Phone number: 502-241-5159
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Mailing Address
Mrs. CARMEN MICHELLE CLARK
7302 MEADOW RD
CRESTWOOD, KY 40014-9453
Phone number: 502-241-5159
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