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1316527542
BENJAMIN RYAN CLARK
WOODBRIDGE, VA
NPI
1316527542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701009769)
Enumeration Date
2021-04-12
Last Update Date
2021-04-12
Business Address
Mr. BENJAMIN RYAN CLARK LPC
2501 HUNTER PL STE 202
WOODBRIDGE, VA 22192-3940
Phone number: 304-940-9724
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Mailing Address
Mr. BENJAMIN RYAN CLARK LPC
2950 MARSALA CT
WOODBRIDGE, VA 22192-1605
Phone number: 304-940-9724
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