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1225419096
DIANE CLARK
MANHATTAN, KS
NPI
1225419096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS Lscsw2422)
Enumeration Date
2015-06-17
Last Update Date
2015-06-17
Business Address
-- DIANE CLARK LSCSW
1115 WESTPORT DR STE D2
MANHATTAN, KS 66502-2871
Phone number: 785-560-3101
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Mailing Address
-- DIANE CLARK LSCSW
1115 WESTPORT DR STE D2
MANHATTAN, KS 66502-2871
Phone number: 785-560-3101
Copy
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