SAMANTHA RAE CLARK

ELIZABETHTOWN, KY
NPI1346642071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2014-09-25
Last Update Date2014-09-25
Business Address
-- SAMANTHA RAE CLARK
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
Mailing Address
-- SAMANTHA RAE CLARK
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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