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1407691348
KRISTIE CLARK
DES MOINES, IA
NPI
1407691348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IA 124537)
Enumeration Date
2024-07-01
Last Update Date
2024-07-16
Business Address
KRISTIE CLARK MSW
401 NE 66TH AVE
DES MOINES, IA 50313-1243
Phone number: 515-289-1933
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Mailing Address
KRISTIE CLARK MSW
9517 ELM LN
JOHNSTON, IA 50131-2917
Phone number:
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