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1467635748
CLARK EDWARD RICHMAN
COEUR D ALENE, ID
NPI
1467635748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC 4465)
Enumeration Date
2007-12-10
Last Update Date
2022-04-08
Business Address
Mr. CLARK EDWARD RICHMAN LCPC
2201 N IRONWOOD PL STE 100
COEUR D ALENE, ID 83814-2670
Phone number: 208-769-4222
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Mailing Address
Mr. CLARK EDWARD RICHMAN LCPC
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299
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