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1265575674
MICHELLE THERESA CLARK
RAYNHAM, MA
NPI
1265575674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA LMHC 910)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
-- MICHELLE THERESA CLARK LMHC
10 COMMERCE WAY
RAYNHAM, MA 02767-1071
Phone number: 508-208-7561
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Mailing Address
-- MICHELLE THERESA CLARK LMHC
PO BOX 872
RAYNHAM CENTER, MA 02768-0872
Phone number: 508-208-7561
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