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1154610269
JESSICA CLARK
RIVERSIDE, RI
NPI
1154610269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW02337)
Enumeration Date
2011-03-30
Last Update Date
2013-09-03
Business Address
-- JESSICA CLARK LICSW
55 FLOYD AVE
RIVERSIDE, RI 02915-2927
Phone number: 401-743-5313
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Mailing Address
-- JESSICA CLARK LICSW
55 FLOYD AVE
RIVERSIDE, RI 02915-2927
Phone number: 401-743-5313
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