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1568684777
JILL CLARK
WEST CARROLLTON, OH
NPI
1568684777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OH C-5998)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- JILL CLARK BA MS LPC
1170 E CENTRAL AVE
WEST CARROLLTON, OH 45449-1825
Phone number: 937-865-9061
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Mailing Address
-- JILL CLARK BA MS LPC
1210 BERNA LN
KETTERING, OH 45429-5554
Phone number: 937-435-6623
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