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1144968694
HEATHER JEAN CLARK
MAPLE SHADE, NJ
NPI
1144968694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: PA PC014131)
Enumeration Date
2022-05-24
Last Update Date
2024-07-19
Business Address
HEATHER JEAN CLARK MA, LPC
43 VILLAGE OF STONEY RUN APT F
MAPLE SHADE, NJ 08052-2143
Phone number: 609-617-4604
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Mailing Address
HEATHER JEAN CLARK MA, LPC
43 VILLAGE OF STONEY RUN APT F
MAPLE SHADE, NJ 08052-2143
Phone number: 609-617-4604
Copy
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