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1043368145
ELISABETH OLIVER CLARK
LOS ANGELES, CA
NPI
1043368145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY12291)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
Dr. ELISABETH OLIVER CLARK Ph.D.
544 S SAN VICENTE BLVD SUITE 203
LOS ANGELES, CA 90048-4622
Phone number: 323-850-0620
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Mailing Address
Dr. ELISABETH OLIVER CLARK Ph.D.
1558 N OGDEN DR
LOS ANGELES, CA 90046-2616
Phone number: 323-850-0620
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