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1518421874
MARY A CLARK
SAINT PAUL, MN
NPI
1518421874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 305068)
Enumeration Date
2019-01-30
Last Update Date
2019-01-30
Business Address
MARY A CLARK
1821 UNIVERSITY AVE W STE N385
SAINT PAUL, MN 55104-2872
Phone number: 952-679-5392
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Mailing Address
MARY A CLARK
1821 UNIVERSITY AVE W STE N385
SAINT PAUL, MN 55104-2872
Phone number: 952-679-5392
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