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1750972550
HASANA CLARK
KERNERSVILLE, NC
NPI
1750972550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
HASANA CLARK
418B W MOUNTAIN ST
KERNERSVILLE, NC 27284-2534
Phone number: 704-780-4271
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Mailing Address
HASANA CLARK
111 ECHO GLEN DR
WINSTON SALEM, NC 27106-5925
Phone number: 919-539-9952
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