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1235669037
HENRY WILLIAM CLARK
COLUMBIA, MO
NPI
1235669037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MO 002440)
Enumeration Date
2017-06-14
Last Update Date
2020-12-18
Business Address
HENRY WILLIAM CLARK M.A., LPC
409 VANDIVER WEST BLDG 6, SUITE 102A GREAT CIRCLE
COLUMBIA, MO 65202
Phone number: 573-442-8331
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Mailing Address
HENRY WILLIAM CLARK M.A., LPC
1709 OAKWOOD CT
COLUMBIA, MO 65203-1704
Phone number: 573-864-4600
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