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1447629738
TRACI B CLARK
WEST MONROE, LA
NPI
1447629738
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Former Name
TRACI LEIGH BOYETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: LA 4065)
Enumeration Date
2015-09-17
Last Update Date
2015-09-17
Business Address
-- TRACI B CLARK LPC
110 LAKE POWELL DR
WEST MONROE, LA 71292-2107
Phone number: 318-614-4796
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Mailing Address
-- TRACI B CLARK LPC
110 LAKE POWELL DR
WEST MONROE, LA 71292-2107
Phone number: 318-614-4796
Copy
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