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1275002164
COURTNEY MARIE CLARK
MILWAUKEE, WI
NPI
1275002164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 7192-125)
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
COURTNEY MARIE CLARK MS, LPC
833 N 26TH ST
MILWAUKEE, WI 53233-1507
Phone number: 414-345-6386
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Mailing Address
COURTNEY MARIE CLARK MS, LPC
1705 17TH AVE
GRAFTON, WI 53024-2030
Phone number: 715-966-6221
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