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1508184946
ADELINE CLARK
GEORGETOWN, TX
NPI
1508184946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX LPCS70788)
Enumeration Date
2010-05-10
Last Update Date
2020-12-28
Business Address
ADELINE CLARK LPC-S
207 SUSANA DR
GEORGETOWN, TX 78628-8736
Phone number: 443-621-2835
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Mailing Address
ADELINE CLARK LPC-S
207 SUSANA DR
GEORGETOWN, TX 78628-8736
Phone number: 443-621-2835
Copy
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