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1467620674
CHRISTINE CLARK
MATTOON, IL
NPI
1467620674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-02-11
Last Update Date
2008-02-11
Business Address
-- CHRISTINE CLARK M.S.
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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Mailing Address
-- CHRISTINE CLARK M.S.
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
Copy
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