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1053600767
CAMERON CLARK
BERKELEY, CA
NPI
1053600767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA I8222069)
Enumeration Date
2011-04-04
Last Update Date
2011-04-04
Business Address
-- CAMERON CLARK
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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Mailing Address
-- CAMERON CLARK
1087 STANFORD AVE APT C
OAKLAND, CA 94608-2358
Phone number:
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