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1518205087
CRISTAL R CLARK
FORT WORTH, TX
NPI
1518205087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 68323)
Enumeration Date
2013-01-17
Last Update Date
2014-03-01
Business Address
Ms. CRISTAL R CLARK LPC
3327 WINTHROP AVE SUITE 205
FORT WORTH, TX 76116-5613
Phone number: 817-994-6962
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Mailing Address
Ms. CRISTAL R CLARK LPC
3327 WINTHROP AVE SUITE 205
FORT WORTH, TX 76116-5613
Phone number: 817-994-6962
Copy
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