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1427174457
MARY L CLARK
DETROIT, MI
NPI
1427174457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-21
Last Update Date
2007-07-26
Business Address
Mrs. MARY L CLARK
514 ALGER ST
DETROIT, MI 48202-2106
Phone number: 313-871-9940
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Mailing Address
Mrs. MARY L CLARK
21515 GLENCO ST
DETROIT, MI 48219-2439
Phone number:
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