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1932439916
PAMELA DIXON CLARK
JACKSON, MS
NPI
1932439916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C7537)
Enumeration Date
2010-01-13
Last Update Date
2010-01-13
Business Address
Mrs. PAMELA DIXON CLARK LCSW
2941 TERRY RD STE 22
JACKSON, MS 39212-3072
Phone number: 601-373-0566
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Mailing Address
Mrs. PAMELA DIXON CLARK LCSW
2128 EASTOVER DR
JACKSON, MS 39211-6719
Phone number: 601-987-8647
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