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1144212374
GLENDA S. CLARK
TAMPA, FL
NPI
1144212374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW0003672)
Enumeration Date
2005-08-15
Last Update Date
2007-07-08
Business Address
Ms. GLENDA S. CLARK LCSW
3333 W KENNEDY BLVD SUITE 106
TAMPA, FL 33609-2976
Phone number: 813-354-9444
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Mailing Address
Ms. GLENDA S. CLARK LCSW
850 BUGLE WAY
LAKELAND, FL 33809-6609
Phone number: 863-853-2213
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