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1700206240
KATLYN CLARK
KNOXVILLE, TN
NPI
1700206240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-23
Last Update Date
2014-04-23
Business Address
-- KATLYN CLARK
412 CITICO ST
KNOXVILLE, TN 37921-5811
Phone number: 865-522-0661
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Mailing Address
-- KATLYN CLARK
412 CITICO ST
KNOXVILLE, TN 37921-5811
Phone number: 865-522-0661
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