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1659827673
LATARIOUS CLARK
ATHENS, GA
NPI
1659827673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC009108)
Enumeration Date
2016-08-30
Last Update Date
2016-08-30
Business Address
-- LATARIOUS CLARK
135 BRENTWOOD DR
ATHENS, GA 30605-3901
Phone number: 706-224-4851
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Mailing Address
-- LATARIOUS CLARK
135 BRENTWOOD DR
ATHENS, GA 30605-3901
Phone number:
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