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1548823826
CHANELLA LATRE CLARK
NASHVILLE, TN
NPI
1548823826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 281173)
Enumeration Date
2019-04-22
Last Update Date
2022-10-24
Business Address
CHANELLA LATRE CLARK LPCC
210 25TH AVE N STE 601
NASHVILLE, TN 37203-1631
Phone number: 615-337-8709
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Mailing Address
CHANELLA LATRE CLARK LPCC
1515 5TH AVE N APT 204
NASHVILLE, TN 37208-2798
Phone number: 615-337-8709
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