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1467138198
JARED NATHANIEL CLARK
ROCK HILL, SC
NPI
1467138198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
JARED NATHANIEL CLARK
199 HERLONG AVE S
ROCK HILL, SC 29732-1186
Phone number: 803-324-0404
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Mailing Address
JARED NATHANIEL CLARK
199 S HERLONG AVE
ROCK HILL, SC 29732
Phone number:
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