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1881050490
PHOEBE SAMANTHA CLARK
BEND, OR
NPI
1881050490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C5258)
Enumeration Date
2016-01-12
Last Update Date
2021-04-08
Business Address
PHOEBE SAMANTHA CLARK MA, LPC, ATR.
66975 WEST ST
BEND, OR 97703-9283
Phone number: 541-203-0970
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Mailing Address
PHOEBE SAMANTHA CLARK MA, LPC, ATR.
66975 WEST ST
BEND, OR 97703-9283
Phone number: 541-203-0970
Copy
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