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1902161326
DALIA CLARK
BRADENTON, FL
NPI
1902161326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH 9776)
Enumeration Date
2012-07-11
Last Update Date
2012-07-11
Business Address
-- DALIA CLARK MA
379 6TH AVE W
BRADENTON, FL 34205-8820
Phone number: 941-782-4100
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Mailing Address
-- DALIA CLARK MA
PO BOX 9478
BRADENTON, FL 34206-9478
Phone number: 941-782-4299
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