ADAM G CLARK-TAN

DALY CITY, CA
NPI1093024937
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  63563)
Enumeration Date2010-09-27
Last Update Date2016-10-31
Business Address
-- ADAM G CLARK-TAN LCSW
21 PENHURST AVE
DALY CITY, CA 94015-4423
Phone number: 415-763-7782
Mailing Address
-- ADAM G CLARK-TAN LCSW
21 PENHURST AVE
DALY CITY, CA 94015-4423
Phone number: 415-763-7782