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1881806115
JACK CLEMENT
MAITLAND, FL
NPI
1881806115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH0002935)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- JACK CLEMENT
260 LOOKOUT PL
MAITLAND, FL 32751-4492
Phone number: 407-647-1781
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Mailing Address
-- JACK CLEMENT
260 LOOKOUT PL
MAITLAND, FL 32751-4492
Phone number: 407-647-1781
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