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1306388293
CHANNING CLARK
COLUMBIA, MD
NPI
1306388293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MD LCPC7470)
Enumeration Date
2016-11-09
Last Update Date
2016-11-09
Business Address
CHANNING CLARK LCPC
4806 TEAL WING CT 104
COLUMBIA, MD 21045-2120
Phone number: 301-254-9608
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Mailing Address
CHANNING CLARK LCPC
4806 TEAL WING CT 104
COLUMBIA, MD 21045-2120
Phone number:
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