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1376015156
BRYAN JEROME TALBOTT-CLARK
ANCHORAGE, AK
NPI
1376015156
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Former Name
BRYAN JEROME CLARK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AK 123001)
Enumeration Date
2018-12-18
Last Update Date
2018-12-18
Business Address
Mr. BRYAN JEROME TALBOTT-CLARK LCSW
3900 AMBASSADOR DR FL 4
ANCHORAGE, AK 99508-5922
Phone number: 907-729-4558
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Mailing Address
Mr. BRYAN JEROME TALBOTT-CLARK LCSW
3900 AMBASSADOR DR FL 4
ANCHORAGE, AK 99508-5922
Phone number: 907-729-4558
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