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1306103445
SAMANTHA K CLARKE
ENFIELD, CT
NPI
1306103445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 002170)
Enumeration Date
2012-04-13
Last Update Date
2012-04-13
Business Address
-- SAMANTHA K CLARKE LPC
113 ELM ST STE 204
ENFIELD, CT 06082-3739
Phone number: 860-741-3001
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Mailing Address
-- SAMANTHA K CLARKE LPC
34 WELCH AVE
WINDSOR, CT 06095-2935
Phone number: 860-741-3001
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