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1205159779
FAWN M. CLARK
NEW KENSINGTON, PA
NPI
1205159779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
106H00000X Marriage & Family Therapist
Enumeration Date
2010-03-11
Last Update Date
2010-03-11
Business Address
FAWN M. CLARK
3 KENSINGTON SQUARE SUITE B
NEW KENSINGTON, PA 15068
Phone number: 724-335-9733
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Mailing Address
FAWN M. CLARK
3 KENSINGTON SQUARE SUITE B
NEW KENSINGTON, PA 15068
Phone number: 724-335-9733
Copy
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