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1265027163
ETHAN CLARK
DALLAS, TX
NPI
1265027163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 80246)
Enumeration Date
2021-03-03
Last Update Date
2021-03-03
Business Address
ETHAN CLARK MA, LPC
8150 N CENTRAL EXPY # M-1065
DALLAS, TX 75206-1815
Phone number: 214-736-9955
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Mailing Address
ETHAN CLARK MA, LPC
8150 N CENTRAL EXPY # M-1065
DALLAS, TX 75206-1815
Phone number:
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