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1366689895
LISA F CLARK
CORBIN, KY
NPI
1366689895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KY 247004)
Enumeration Date
2009-01-21
Last Update Date
2019-03-12
Business Address
LISA F CLARK LPCC
140 BRYAN BLVD
CORBIN, KY 40701-2775
Phone number: 606-523-2005
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Mailing Address
LISA F CLARK LPCC
PO BOX 1150
BARBOURVILLE, KY 40906-5150
Phone number: 606-546-9287
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