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1235285495
L CLARK
WOODSTOCK, GA
NPI
1235285495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YP2500X Counselor, Professional
Enumeration Date
2007-01-28
Last Update Date
2023-03-17
Business Address
L CLARK
405 CREEKSTONE RDG
WOODSTOCK, GA 30188-3746
Phone number: 770-233-7580
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Mailing Address
L CLARK
5101 OLD HIGHWAY 5 UNIT 503
LEBANON, GA 30146-0817
Phone number:
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