EDWARD R CLARKE

BRANDON, MS
NPI1225751431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-09-22
Last Update Date2022-09-22
Business Address
EDWARD R CLARKE
613 MARQUETTE RD
BRANDON, MS 39042-3038
Phone number: 601-824-1692
Mailing Address
EDWARD R CLARKE
PO BOX 88
BRANDON, MS 39043-0088
Phone number: 601-824-1692
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