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1568078947
MICHELLE JEAN CLARK
HINESVILLE, GA
NPI
1568078947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA apc007443)
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
MICHELLE JEAN CLARK LAPC
318 S WELBORN ST STE C
HINESVILLE, GA 31313-3127
Phone number: 912-332-5145
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Mailing Address
MICHELLE JEAN CLARK LAPC
43 SADDLEBRUSH RD
ELLABELL, GA 31308-7402
Phone number: 719-337-6592
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