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1144937111
DESTINEE CLARK
SAN ANTONIO, TX
NPI
1144937111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
DESTINEE CLARK
4241 E PIEDRAS DR STE 171
SAN ANTONIO, TX 78228-1409
Phone number: 225-385-4543
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Mailing Address
DESTINEE CLARK
4241 E PIEDRAS DR STE 171
SAN ANTONIO, TX 78228-1409
Phone number: 225-385-4543
Copy
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