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1902813850
JAMES DOUGLAS CLARK
JACKSONVILLE, FL
NPI
1902813850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW3994)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
Mr. JAMES DOUGLAS CLARK LCSW
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216-6164
Phone number: 904-296-1055
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Mailing Address
Mr. JAMES DOUGLAS CLARK LCSW
4615 MARSH HAWK PL
PONTE VEDRA BEACH, FL 32082-3027
Phone number: 904-296-1055
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