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1285182022
NICOLE MICHELLE CLARK
DAYTON, OH
NPI
1285182022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: OH S1303565)
Enumeration Date
2016-09-21
Last Update Date
2016-09-21
Business Address
-- NICOLE MICHELLE CLARK LSW
1349 EAST STROOP ROAD
DAYTON, OH 45429-4925
Phone number: 937-293-8300
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Mailing Address
-- NICOLE MICHELLE CLARK LSW
3506 DANBURY ROAD
FAIRFIELD, OH 45014-5311
Phone number: 513-382-9202
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