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1689190290
FANCHON MARIE CLARK
GRAND RAPIDS, MI
NPI
1689190290
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Former Name
FANCHON CLARK HARVEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MI 6401009405)
Enumeration Date
2017-08-15
Last Update Date
2022-07-21
Business Address
FANCHON MARIE CLARK M.A., LPC, CAADC
622 GRIGGS ST SE
GRAND RAPIDS, MI 49507-2644
Phone number: 616-901-1650
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Mailing Address
FANCHON MARIE CLARK M.A., LPC, CAADC
622 GRIGGS ST SE
GRAND RAPIDS, MI 49507-2644
Phone number: 616-901-1650
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