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1508454745
CHANTEL R CLARKE
SAN ANTONIO, TX
NPI
1508454745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 82083)
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
CHANTEL R CLARKE
300 E RAMSEY RD STE 305
SAN ANTONIO, TX 78216-3932
Phone number: 210-723-5647
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Mailing Address
CHANTEL R CLARKE
7601 GATEWAY BLVD APT 1536
LIVE OAK, TX 78233-2769
Phone number: 210-723-5647
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