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Individual
KAYLA ENNETTE CLARK
Active
Individual
KAYLA ENNETTE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
83912
TX
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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