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1306806955
BECKY SUE CLARK
SHERIDAN, WY
NPI
1306806955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY LCSW-992)
Enumeration Date
2006-03-27
Last Update Date
2016-04-04
Business Address
-- BECKY SUE CLARK LCSW
1635 POND VIEW CT
SHERIDAN, WY 82801-6719
Phone number: 207-590-8477
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Mailing Address
-- BECKY SUE CLARK LCSW
1635 POND VIEW CT
SHERIDAN, WY 82801-6719
Phone number: 207-590-8477
Copy
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