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1770831901
RICHARD CLARK
OMAHA, NE
NPI
1770831901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 1825)
Enumeration Date
2012-08-20
Last Update Date
2023-08-04
Business Address
RICHARD CLARK
4611 S 96TH ST STE 222
OMAHA, NE 68127-1243
Phone number: 402-616-5139
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Mailing Address
RICHARD CLARK
2902 JACK PINE ST
BELLEVUE, NE 68123-5519
Phone number: 402-616-5139
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