Tavaraes Lashun Clark Jr.
Tavaraes Lashun Clark Jr. is a Counselor in Columbus, Mississippi. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
428 24th Ave NColumbus, MS 39705-1945
Phone: (662) 241-7097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1659839876 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 6, 2019 |
| Last updated in NPPES | March 6, 2019 |
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