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1093024937
ADAM G CLARK-TAN
DALY CITY, CA
NPI
1093024937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 63563)
Enumeration Date
2010-09-27
Last Update Date
2016-10-31
Business Address
ADAM G CLARK-TAN LCSW
21 PENHURST AVE
DALY CITY, CA 94015-4423
Phone number: 415-763-7782
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Mailing Address
ADAM G CLARK-TAN LCSW
21 PENHURST AVE
DALY CITY, CA 94015-4423
Phone number: 415-763-7782
Copy
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