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1073937637
PATRICIA ANN CLARK
SANTA ROSA, CA
NPI
1073937637
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Professional Name
ANN CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF 75971)
Enumeration Date
2014-02-18
Last Update Date
2014-02-18
Business Address
MS. PATRICIA ANN CLARK MFTI
429 SPEERS RD
SANTA ROSA, CA 95409-3123
Phone number: 707-571-2215
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Mailing Address
MS. PATRICIA ANN CLARK MFTI
PO BOX 2587
SANTA ROSA, CA 95405-0587
Phone number: 707-527-2215
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