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1306293162
CONNETRA LASHAN CLARK
GAINESVILLE, FL
NPI
1306293162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-05-20
Last Update Date
2016-05-20
Business Address
Ms. CONNETRA LASHAN CLARK
1900 SE 4TH ST 42
GAINESVILLE, FL 32641-8791
Phone number: 352-642-4775
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Mailing Address
Ms. CONNETRA LASHAN CLARK
1900 SE 4TH ST 42
GAINESVILLE, FL 32641-8791
Phone number: 352-642-4775
Copy
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