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1003339730
MICHAEL ERWIN CLARK
OAKLAND, CA
NPI
1003339730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 134257)
Enumeration Date
2017-07-25
Last Update Date
2024-10-31
Business Address
MICHAEL ERWIN CLARK
2540 CHARLESTON ST
OAKLAND, CA 94602
Phone number: 510-531-7551
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Mailing Address
MICHAEL ERWIN CLARK
2540 CHARLESTON ST
OAKLAND, CA 94602-2508
Phone number:
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