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1912402017
TRACEY LYN CLARK
HASTINGS, MI
NPI
1912402017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801101970)
Enumeration Date
2018-03-29
Last Update Date
2019-04-09
Business Address
TRACEY LYN CLARK LLMSW
500 BARFIELD DR
HASTINGS, MI 49058-9018
Phone number: 269-948-8041
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Mailing Address
TRACEY LYN CLARK LLMSW
500 BARFIELD DR
HASTINGS, MI 49058-9018
Phone number: 269-948-8041
Copy
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