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1710465919
JERRY CLARK
FARMINGTON HILLS, MI
NPI
1710465919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-07-31
Last Update Date
2020-02-05
Business Address
JERRY CLARK
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5326
Phone number: 248-299-0030
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Mailing Address
JERRY CLARK
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5326
Phone number: 248-299-0030
Copy
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