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1306359948
ANDREA CLARK
TRENTON, NJ
NPI
1306359948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2017-11-06
Last Update Date
2017-11-06
Business Address
ANDREA CLARK
10 SOUTHARD ST
TRENTON, NJ 08609-1020
Phone number: 609-396-4557
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Mailing Address
ANDREA CLARK
10 SOUTHARD ST
TRENTON, NJ 08609-1020
Phone number:
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