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1730509787
BRIAN CLARK
MOORHEAD, MN
NPI
1730509787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-04-17
Last Update Date
2014-04-17
Business Address
-- BRIAN CLARK
891 BELSLY BLVD
MOORHEAD, MN 56560-5055
Phone number: 218-287-4338
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Mailing Address
-- BRIAN CLARK
891 BELSLY BLVD
MOORHEAD, MN 56560-5055
Phone number: 218-287-4338
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