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1235146697
EDWARD CLARK
RAEFORD, NC
NPI
1235146697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C000989)
Enumeration Date
2006-08-01
Last Update Date
2008-03-25
Business Address
-- EDWARD CLARK LCSW
121 E ELWOOD AVE
RAEFORD, NC 28376-2947
Phone number: 910-875-8156
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Mailing Address
-- EDWARD CLARK LCSW
PO BOX 9
WEST END, NC 27376-0009
Phone number: 910-673-9111
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