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1336865708
SAMANTHA LEI CLARK
GASTONIA, NC
NPI
1336865708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P016966)
Enumeration Date
2022-10-17
Last Update Date
2022-10-20
Business Address
Mrs. SAMANTHA LEI CLARK LCSWA
1337 E GARRISON BOULEVARD
GASTONIA, NC 28054-5127
Phone number: 704-671-7784
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Mailing Address
Mrs. SAMANTHA LEI CLARK LCSWA
1337 E GARRSION BOULEVARD
GASTONIA, NC 28054
Phone number: 704-671-7784
Copy
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