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1982176483
SAMANTHA D CLARK
JOHNSON CITY, TN
NPI
1982176483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: TN LSW0000010976)
Enumeration Date
2018-12-20
Last Update Date
2019-03-18
Business Address
SAMANTHA D CLARK LMSW
809 LAMONT ST
JOHNSON CITY, TN 37604-5453
Phone number: 423-335-0863
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Mailing Address
SAMANTHA D CLARK LMSW
809 LAMONT ST
JOHNSON CITY, TN 37604-5453
Phone number: 423-926-1171
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