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1184788697
PHILLIP C CLARKE
WINSTON SALEM, NC
NPI
1184788697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 5515)
Enumeration Date
2006-12-20
Last Update Date
2011-09-15
Business Address
Mr. PHILLIP C CLARKE MS, EdS, NCC, LPC
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-509-8915
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Mailing Address
Mr. PHILLIP C CLARKE MS, EdS, NCC, LPC
3704 COTSWOLD TER UNIT #3-C
GREENSBORO, NC 27410-8979
Phone number: 336-509-8915
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