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1508231085
DERWIN CLARK
LITTLE ROCK, AR
NPI
1508231085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2015-12-09
Last Update Date
2015-12-09
Business Address
-- DERWIN CLARK
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
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Mailing Address
-- DERWIN CLARK
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number:
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