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1528489002
CONNIE CLARK
JACKSONVILLE, FL
NPI
1528489002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-12-30
Last Update Date
2013-12-30
Business Address
-- CONNIE CLARK
620 WELLHOUSE DR
JACKSONVILLE, FL 32220-1367
Phone number: 904-222-1784
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Mailing Address
-- CONNIE CLARK
620 WELLHOUSE DR
JACKSONVILLE, FL 32220-1367
Phone number: 904-222-1784
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