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1922512607
FREDERICK CLARK
NOVI, MI
NPI
1922512607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-11-17
Last Update Date
2021-04-16
Business Address
FREDERICK CLARK
41521 W 11 MILE RD
NOVI, MI 48375-1803
Phone number: 804-244-6728
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Mailing Address
FREDERICK CLARK
1800 N MCCORD RD
TOLEDO, OH 43615-8702
Phone number:
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