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1932470119
LANCE CLARK
FUQUAY VARINA, NC
NPI
1932470119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 9217)
Enumeration Date
2012-01-20
Last Update Date
2022-06-09
Business Address
Mr. LANCE CLARK MA, LCMHC, BCTMH, QS
320 N JUDD PKWY NE STE 226
FUQUAY VARINA, NC 27526-2624
Phone number: 919-812-7535
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Mailing Address
Mr. LANCE CLARK MA, LCMHC, BCTMH, QS
320 N JUDD PKWY NE STE 226
FUQUAY VARINA, NC 27526-2624
Phone number: 919-812-7535
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