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1154583268
TAMMY EVETTE CLARK
SAINT LOUIS, MO
NPI
1154583268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2008011148)
Enumeration Date
2008-06-30
Last Update Date
2012-02-22
Business Address
-- TAMMY EVETTE CLARK LPC
1133 PUTTER LN
SAINT LOUIS, MO 63132-3806
Phone number: 314-994-9466
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Mailing Address
-- TAMMY EVETTE CLARK LPC
1133 PUTTER LN
SAINT LOUIS, MO 63132-3806
Phone number: 314-994-9466
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