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1245829548
DEIDRE' MARIE CLARK
SHAKOPEE, MN
NPI
1245829548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MN 3698)
Enumeration Date
2021-01-12
Last Update Date
2021-01-12
Business Address
Ms. DEIDRE' MARIE CLARK MA, LMFT
200 4TH AVE W STE 300
SHAKOPEE, MN 55379-1220
Phone number: 952-496-8445
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Mailing Address
Ms. DEIDRE' MARIE CLARK MA, LMFT
26 RIVER WOODS LN
BURNSVILLE, MN 55337-3369
Phone number: 952-220-0263
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