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1154069755
CHANDA N CLARK
HOPKINSVILLE, KY
NPI
1154069755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
CHANDA N CLARK
10632 EAGLE WAY
HOPKINSVILLE, KY 42240-8775
Phone number: 270-702-4641
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Mailing Address
CHANDA N CLARK
1321 MURFREESBORO PIKE STE 702
NASHVILLE, TN 37217-2679
Phone number: 615-361-4000
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