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1720094048
ROBIN CLARK
VICKSBURG, MS
NPI
1720094048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS PH1410)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- ROBIN CLARK PCMHT
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
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Mailing Address
-- ROBIN CLARK PCMHT
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
Copy
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