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1831614494
VICTORIA LEA CLARK
ELIZABETHTOWN, KY
NPI
1831614494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-04
Last Update Date
2019-09-16
Business Address
VICTORIA LEA CLARK
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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Mailing Address
VICTORIA LEA CLARK
8151 NEW LAGRANGE ROAD
LOUISVILLE, KY 40222
Phone number: 502-400-8099
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