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1891141354
CHANTE' R CLARK
FORT LIBERTY, NC
NPI
1891141354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C011697)
Enumeration Date
2016-05-13
Last Update Date
2024-08-13
Business Address
CHANTE' R CLARK LCSW
2817 ROCK MERRIT AVE
FORT LIBERTY, NC 28310-1668
Phone number: 910-907-8400
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Mailing Address
CHANTE' R CLARK LCSW
2817 ROCK MERRIT AVE
FORT LIBERTY, NC 28310-0001
Phone number:
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