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1740729599
TAYLOR CLARK
BAKER CITY, OR
NPI
1740729599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: OR L4730)
Enumeration Date
2017-02-13
Last Update Date
2020-07-10
Business Address
TAYLOR CLARK LCSW
2100 MAIN ST
BAKER CITY, OR 97814-2655
Phone number: 541-523-7400
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Mailing Address
TAYLOR CLARK LCSW
2100 MAIN ST
BAKER CITY, OR 97814-2655
Phone number: 541-523-7400
Copy
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