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1528430550
DEMETRICE CLARK
BATON ROUGE, LA
NPI
1528430550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-29
Last Update Date
2015-10-29
Business Address
-- DEMETRICE CLARK
8946 INTERLINE AVE STE A
BATON ROUGE, LA 70809-1913
Phone number: 225-253-1277
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Mailing Address
-- DEMETRICE CLARK
8946 INTERLINE AVE STE A
BATON ROUGE, LA 70809-1913
Phone number: 225-253-1277
Copy
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