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1346713526
ELLEN CLARK
SAINT LOUIS, MO
NPI
1346713526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2021005152)
Enumeration Date
2019-01-10
Last Update Date
2021-03-30
Business Address
ELLEN CLARK M.S.
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103-2303
Phone number: 314-206-3700
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Mailing Address
ELLEN CLARK M.S.
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103-2303
Phone number: 314-206-3700
Copy
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