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1366184046
JODIE M CLARK
WHEAT RIDGE, CO
NPI
1366184046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 886707529)
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
JODIE M CLARK LSW
3895 UPHAM ST STE 100
WHEAT RIDGE, CO 80033-4651
Phone number: 303-500-5055
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Mailing Address
JODIE M CLARK LSW
6782 E BRIARWOOD DR
CENTENNIAL, CO 80112-1156
Phone number: 602-819-1842
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