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1588605125
GARY E. CLARK
GAITHERSBURG, MD
NPI
1588605125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LC 0902)
Enumeration Date
2006-06-08
Last Update Date
2022-01-31
Business Address
Mr. GARY E. CLARK LCPC
7529 CINNABAR TER
GAITHERSBURG, MD 20879-4576
Phone number: 301-917-7947
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Mailing Address
Mr. GARY E. CLARK LCPC
7529 CINNABAR TER
GAITHERSBURG, MD 20879-4576
Phone number: 301-917-7947
Copy
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