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1134846330
JASMINE MAKAYLA CLARK
CARMEL, IN
NPI
1134846330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 100073590A)
Enumeration Date
2022-10-27
Last Update Date
2022-10-27
Business Address
JASMINE MAKAYLA CLARK Wraparound
697 PRO MED LN
CARMEL, IN 46032-5323
Phone number: 317-587-0517
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Mailing Address
JASMINE MAKAYLA CLARK Wraparound
9615 E 148TH ST STE 1
NOBLESVILLE, IN 46060-4371
Phone number: 317-587-0517
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