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1629105200
ANTOINETTE CLARK
COLUMBIA, SC
NPI
1629105200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
-- ANTOINETTE CLARK
3809 ROSEWOOD DR
COLUMBIA, SC 29205-3533
Phone number: 803-786-1844
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Mailing Address
-- ANTOINETTE CLARK
7 SOFTWOOD LN
COLUMBIA, SC 29229-8019
Phone number: 803-786-1844
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