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Organization

CLACK ASSOCIATES, LLC.

Active
Other names
Clack Associates, LLC.
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN LIEBOLD (MANAGER)
(856) 596-3196
Entity
Organization

Contact information

Practice address
603 LIBERTY PLACE, SICKLERVILLE, NJ 08081
(856) 875-5335
Mailing address
200 DAVISTOWN ROAD PO BOX 272, BLACKWOOD, NJ 08012-9998
(856) 875-5335

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/13/2019
Last updated
10/13/2019
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