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1902678030
MICHAEL CLARK
MARION, OH
NPI
1902678030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
MICHAEL CLARK
206 S PROSPECT ST
MARION, OH 43302-3922
Phone number: 740-244-8850
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Mailing Address
MICHAEL CLARK
206 S PROSPECT ST
MARION, OH 43302-3922
Phone number:
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