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Individual
MRS. LECRETIA WILLIAMS CLARK
Active
Individual
MRS. LECRETIA WILLIAMS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3389
MS
Other
Enumeration date
04/10/2015
Last updated
09/02/2016
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