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1376648857
DEBORAH A CLARK
COLUMBIA, SC
NPI
1376648857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC 4166)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Mrs. DEBORAH A CLARK LPC
1500 LADY ST
COLUMBIA, SC 29201-3402
Phone number: 803-779-1995
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Mailing Address
Mrs. DEBORAH A CLARK LPC
1500 LADY ST
COLUMBIA, SC 29201-3402
Phone number: 803-779-1995
Copy
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