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1144966714
AMANDA LYNE CLARK
BOWIE, MD
NPI
1144966714
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Former Name
AMANDA LYNE JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MD 21240)
Enumeration Date
2022-05-06
Last Update Date
2024-05-14
Business Address
AMANDA LYNE CLARK MSW, LCSW-C
16701 MELFORD BLVD STE 400
BOWIE, MD 20715-4411
Phone number: 415-424-4266
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Mailing Address
AMANDA LYNE CLARK MSW, LCSW-C
8300 ESTERS BLVD STE 900
IRVING, TX 75063-2233
Phone number: 415-424-4266
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