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1215390265
DAVID MACK CLARK
SILOAM SPRINGS, AR
NPI
1215390265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-03-29
Last Update Date
2016-03-29
Business Address
DAVID MACK CLARK
710 S HOLLY ST
SILOAM SPRINGS, AR 72761-3304
Phone number: 479-524-8618
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Mailing Address
DAVID MACK CLARK
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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