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1194485912
KATELYN E CLARK
BRISTOW, VA
NPI
1194485912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701011080)
Enumeration Date
2021-12-20
Last Update Date
2021-12-20
Business Address
KATELYN E CLARK LPC
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136-1223
Phone number: 571-416-0537
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Mailing Address
KATELYN E CLARK LPC
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136-2180
Phone number: 571-416-0537
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