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1508621160
JESSICA LEANN CLARK
FLINT, MI
NPI
1508621160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-02-13
Last Update Date
2024-02-13
Business Address
JESSICA LEANN CLARK
504 N GRAND TRAVERSE ST
FLINT, MI 48503-2536
Phone number: 810-487-4676
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Mailing Address
JESSICA LEANN CLARK
5099 W FARRAND RD
CLIO, MI 48420-8215
Phone number: 586-491-1057
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