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1013145093
DEANNA CAROL CLARK
PASADENA, CA
NPI
1013145093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA mfc39887)
Enumeration Date
2009-06-29
Last Update Date
2009-06-29
Business Address
Mrs. DEANNA CAROL CLARK M.A., MFT
911 E COLORADO BLVD STE 200
PASADENA, CA 91106-1773
Phone number: 818-319-1956
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Mailing Address
Mrs. DEANNA CAROL CLARK M.A., MFT
1052 W. ALAMEDA AVE. PMB 208
BURBANK, CA 91506-2846
Phone number: 818-319-1956
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