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1336242676
TERRY LEE CLARK
LEXINGTON, KY
NPI
1336242676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: KY KY-669)
Enumeration Date
2006-09-05
Last Update Date
2007-07-08
Business Address
MR. TERRY LEE CLARK LCSW
1101 VETERANS DRIVE
LEXINGTON, KY 40502-2235
Phone number: 859-281-3953
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Mailing Address
MR. TERRY LEE CLARK LCSW
565 CANE RUN RD
LEXINGTON, KY 40505-1434
Phone number: 859-281-3953
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