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1841571064
CAROL DENISE CLARK
COCOA, FL
NPI
1841571064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH10894)
Enumeration Date
2011-09-01
Last Update Date
2011-09-01
Business Address
Mrs. CAROL DENISE CLARK LMHC
3905 GRISSOM PKWY
COCOA, FL 32926-3669
Phone number: 321-637-1866
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Mailing Address
Mrs. CAROL DENISE CLARK LMHC
6975 BISMARCK ROAD
COCOA, FL 32927-3955
Phone number: 407-595-9535
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