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1154665438
LEAH NICOLE CLARK
LOUISVILLE, KY
NPI
1154665438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY KY-0773)
Enumeration Date
2012-11-26
Last Update Date
2012-11-26
Business Address
-- LEAH NICOLE CLARK MEd
714 LYNDON LN SUITE 1
LOUISVILLE, KY 40222-4643
Phone number: 502-426-2777
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Mailing Address
-- LEAH NICOLE CLARK MEd
714 LYNDON LN SUITE 1
LOUISVILLE, KY 40222-4643
Phone number: 502-426-2777
Copy
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