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1992257901
AJA CLARK
LAFAYETTE, LA
NPI
1992257901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-26
Last Update Date
2018-05-10
Business Address
AJA CLARK
116 BERTRAND DR
LAFAYETTE, LA 70506-5632
Phone number: 337-261-8781
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Mailing Address
AJA CLARK
116 BERTRAND DR
LAFAYETTE, LA 70506-5632
Phone number:
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