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1700660412
ANDREA CLARK LCSW LLC
FORT WAYNE, IN
NPI
1700660412
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Entity Type
Organization
Authorized Contact
ANDREA CLARK
Owner
828-206-8640
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-08-23
Last Update Date
2024-10-25
Business Address
ANDREA CLARK LCSW LLC
1136 COLUMBIA AVE
FORT WAYNE, IN 46805-4312
Phone number: 260-200-3988
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Mailing Address
ANDREA CLARK LCSW LLC
1136 COLUMBIA AVE
FORT WAYNE, IN 46805-4312
Phone number: 260-200-3988
Copy
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