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1437857299
DAVID R CLARKE
JACKSON, MS
NPI
1437857299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C2281)
Enumeration Date
2023-02-21
Last Update Date
2023-02-21
Business Address
DAVID R CLARKE LCSW
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-813-1450
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Mailing Address
DAVID R CLARKE LCSW
3986 BERKLEY DR
JACKSON, MS 39211-6309
Phone number: 601-954-9286
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