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1366001810
TEMPA TEMERA DOMINIQUE CLARK
CLINTON, MS
NPI
1366001810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2019-06-09
Last Update Date
2019-08-26
Business Address
Ms. TEMPA TEMERA DOMINIQUE CLARK
604 HIGHWAY 80 W STE R
CLINTON, MS 39056-4108
Phone number: 601-473-2106
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Mailing Address
Ms. TEMPA TEMERA DOMINIQUE CLARK
PO BOX 701
CLINTON, MS 39060-0701
Phone number: 601-473-2106
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