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1710058284
JERRY D CLARK
HOUSTON, TX
NPI
1710058284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 15162)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Mr. JERRY D CLARK LPC
1830 NASA PKWY STE 104
HOUSTON, TX 77058-3544
Phone number: 281-335-8422
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Mailing Address
Mr. JERRY D CLARK LPC
1830 NASA PKWY STE 104
HOUSTON, TX 77058-3544
Phone number: 281-335-8422
Copy
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