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1871174599
JAMES M CLARK
LEXINGTON, SC
NPI
1871174599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
JAMES M CLARK
1068 S LAKE DR
LEXINGTON, SC 29073-3720
Phone number: 803-726-9400
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Mailing Address
JAMES M CLARK
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number:
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