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1699884619
TROY WILLIAM CLARK
PORTLAND, ME
NPI
1699884619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ME LC1376)
Enumeration Date
2006-08-30
Last Update Date
2009-01-07
Business Address
TROY WILLIAM CLARK LCSW
216 VAUGHAN ST
PORTLAND, ME 04102-3204
Phone number: 207-662-2221
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Mailing Address
TROY WILLIAM CLARK LCSW
216 VAUGHAN ST
PORTLAND, ME 04102-3204
Phone number: 207-662-2221
Copy
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