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1467874107
JACKIE CLARK
LAS VEGAS, NV
NPI
1467874107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NV 251S00000X)
Enumeration Date
2014-01-15
Last Update Date
2014-01-15
Business Address
-- JACKIE CLARK
6130 ELTON AVE
LAS VEGAS, NV 89107-2538
Phone number: 919-710-4252
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Mailing Address
-- JACKIE CLARK
6130 ELTON AVE
LAS VEGAS, NV 89107-2538
Phone number: 919-710-4252
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