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Individual
GREGORY SCOTT CLARK JR.
Active
Individual
GREGORY SCOTT CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
31769
TX
101YP2500X
Professional Counselor
Primary
78242
TX
Other
Enumeration date
03/17/2016
Last updated
10/24/2019
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