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1336696228
TERSIA CLARK
LAKE CHARLES, LA
NPI
1336696228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-08
Last Update Date
2018-06-14
Business Address
TERSIA CLARK
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Phone number: 337-475-0324
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Mailing Address
TERSIA CLARK
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601-7864
Phone number:
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