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Individual

MS. RHONDA LEE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
60 LYNOAK CV, SUITE C, JACKSON, TN 38305-2909
(731) 668-7593
Mailing address
60 LYNOAK CV, SUITE C, JACKSON, TN 38305-2909
(731) 668-7593

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/07/2011
Last updated
12/07/2011
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