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1821142480
ELAINE RUTHERFORD CLARK
BRADENTON, FL
NPI
1821142480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL SW0003279)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
MS. ELAINE RUTHERFORD CLARK LCSW
501 VILLAGE GREEN PKWY STE 4
BRADENTON, FL 34209-3401
Phone number: 941-795-7025
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Mailing Address
MS. ELAINE RUTHERFORD CLARK LCSW
501 VILLAGE GREEN PKWY STE 4
BRADENTON, FL 34209-3401
Phone number: 941-795-7025
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