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1447310289
PETER CLARK
COVINGTON, LA
NPI
1447310289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: LA 571)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Dr. PETER CLARK Ph.D.
203 W 21ST AVE
COVINGTON, LA 70433-3151
Phone number: 985-867-9333
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Mailing Address
Dr. PETER CLARK Ph.D.
203 W 21ST AVE
COVINGTON, LA 70433-3151
Phone number: 985-867-9333
Copy
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