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1366771339
AMBER TERESA CLARK
DECATUR, IL
NPI
1366771339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149014123)
Enumeration Date
2009-12-21
Last Update Date
2013-04-03
Business Address
-- AMBER TERESA CLARK LCSW
3035 E MOUND RD
DECATUR, IL 62526-9650
Phone number: 217-554-3000
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Mailing Address
-- AMBER TERESA CLARK LCSW
3035 E MOUND RD
DECATUR, IL 62526-9650
Phone number: 217-554-3000
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