BRANDON C CLARK

DEERFIELD BEACH, FL
NPI1871872416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: FL  103K00000X)
Enumeration Date2011-08-14
Last Update Date2015-01-02
Business Address
-- BRANDON C CLARK
500 FAIRWAY DR
DEERFIELD BEACH, FL 33441-1814
Phone number: 954-603-7885
Mailing Address
-- BRANDON C CLARK
6 ROSEBERRY CIR
PORT WENTWORTH, GA 31407-5612
Phone number: 850-567-5657
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