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1366291940
OWEN CLARK
DECATUR, GA
NPI
1366291940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-05-15
Last Update Date
2024-05-24
Business Address
OWEN CLARK
235 E PONCE DE LEON AVE STE 320
DECATUR, GA 30030-3452
Phone number: 404-692-2932
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Mailing Address
OWEN CLARK
210 APPLEBY DR APT 216
ATHENS, GA 30605-5411
Phone number:
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