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Individual
KENNETH ANDREW CLARK II
Active
Individual
KENNETH ANDREW CLARK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
M1206006
AR
Other
Enumeration date
02/12/2010
Last updated
06/25/2013
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