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1770995961
KIMBRLEY D CLARK
GRAFTON, OH
NPI
1770995961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 121985)
Enumeration Date
2014-05-22
Last Update Date
2014-05-22
Business Address
KIMBRLEY D CLARK LICDC-CS
2057 S. AVON-BELDEN RD
GRAFTON, OH 44044
Phone number: 440-748-1049
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Mailing Address
KIMBRLEY D CLARK LICDC-CS
41821 WHITNEY RD
LAGRANGE, OH 44050-9458
Phone number:
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