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1326825449
THERESA CLARK
WILLIAMSBURG, VA
NPI
1326825449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0704016012)
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
THERESA CLARK
5248 OLDE TOWNE RD
WILLIAMSBURG, VA 23188-1986
Phone number: 757-603-4603
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Mailing Address
THERESA CLARK
62 PRIORSLEE LN
WILLIAMSBURG, VA 23185-4864
Phone number:
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