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Individual
MITCHELL CLARK
Active
Individual
MITCHELL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.022813
IL
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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