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1689039257
SAMANTHA CLARK
CEDAR RAPIDS, IA
NPI
1689039257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.018675)
Enumeration Date
2015-12-23
Last Update Date
2023-08-25
Business Address
Ms. SAMANTHA CLARK LCSW
3117 1ST AVE SE STE A
CEDAR RAPIDS, IA 52402-4403
Phone number: 319-961-2609
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Mailing Address
Ms. SAMANTHA CLARK LCSW
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615-9323
Phone number: 309-589-6800
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