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1174269096
THOMAS B CLARK
NICHOLASVILLE, KY
NPI
1174269096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
THOMAS B CLARK
108 STABLE WAY
NICHOLASVILLE, KY 40356-8047
Phone number: 859-550-1655
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Mailing Address
THOMAS B CLARK
108 STABLE WAY
NICHOLASVILLE, KY 40356-8047
Phone number: 859-550-1655
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