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1275003055
THAWANDA R CLARK
NEW ORLEANS, LA
NPI
1275003055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-12-05
Last Update Date
2018-12-05
Business Address
THAWANDA R CLARK
200 S BROAD ST
NEW ORLEANS, LA 70119-6447
Phone number: 504-301-3919
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Mailing Address
THAWANDA R CLARK
404 JEFFER DR
WESTWEGO, LA 70094-2160
Phone number: 503-273-3949
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