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1245710904
NICKEISHA CLARKE
LAKELAND, FL
NPI
1245710904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY9310)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
NICKEISHA CLARKE PsyD
4729 US 98 S SUITE 104
LAKELAND, FL 33812-4323
Phone number: 863-877-1855
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Mailing Address
NICKEISHA CLARKE PsyD
4729 US 98 S STE 104
LAKELAND, FL 33812-4323
Phone number: 863-877-1855
Copy
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