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1962087445
JUSTIN PAUL LARK
KANSAS CITY, MO
NPI
1962087445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MO 2020041662)
Enumeration Date
2021-03-16
Last Update Date
2022-11-10
Business Address
JUSTIN PAUL LARK LPC
6300 N LUCERNE AVE
KANSAS CITY, MO 64151-3199
Phone number: 505-231-1997
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Mailing Address
JUSTIN PAUL LARK LPC
108 EL CAMINO ST
RATON, NM 87740-3608
Phone number: 505-231-1997
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