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1811416076
JESSICA CLARK
GONZALES, LA
NPI
1811416076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-09-19
Last Update Date
2022-07-21
Business Address
JESSICA CLARK
42189 SHADOW CREEK AVE
GONZALES, LA 70737-7241
Phone number: 225-978-7583
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Mailing Address
JESSICA CLARK
42189 SHADOW CREEK AVE
GONZALES, LA 70737-7241
Phone number: 225-978-7583
Copy
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