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1851880926
JENISE TRANNELL CLARK
FAYETTEVILLE, GA
NPI
1851880926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-04
Last Update Date
2021-03-22
Business Address
JENISE TRANNELL CLARK LPC
715 BRADLEY DR
FAYETTEVILLE, GA 30214-2030
Phone number: 770-358-5252
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Mailing Address
JENISE TRANNELL CLARK LPC
3777 WALDROP LN
DECATUR, GA 30034-6786
Phone number: 404-274-0929
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