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1609312669
RETA CLARK
LOUISA, KY
NPI
1609312669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 260000)
Enumeration Date
2017-01-16
Last Update Date
2024-03-20
Business Address
RETA CLARK
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
RETA CLARK
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Copy
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