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1982054862
MELISSA A CLARK
CHICAGO, IL
NPI
1982054862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.010742)
Enumeration Date
2016-06-21
Last Update Date
2022-11-02
Business Address
MELISSA A CLARK LCSW
3433 W MADISON ST
CHICAGO, IL 60624-2895
Phone number: 773-242-2299
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Mailing Address
MELISSA A CLARK LCSW
PO BOX 746721
ATLANTA, GA 30374-6721
Phone number: 312-733-9730
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