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1023775624
TERENCE CLARK
LANCASTER, CA
NPI
1023775624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-11-18
Last Update Date
2021-11-18
Business Address
TERENCE CLARK
44443 10TH ST W
LANCASTER, CA 93534-3346
Phone number: 661-726-2630
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Mailing Address
TERENCE CLARK
5107 W AVENUE J5
LANCASTER, CA 93536-7459
Phone number: 661-317-0112
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