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1023746955
MADISYN SYNCLAIRE CLARK
LOS ANGELES, CA
NPI
1023746955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-09
Last Update Date
2022-08-15
Business Address
MADISYN SYNCLAIRE CLARK
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011-5323
Phone number: 323-234-4445
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Mailing Address
MADISYN SYNCLAIRE CLARK
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011-5323
Phone number: 323-234-4445
Copy
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