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1114475233
SUMMER RENEE CLARK
OXNARD, CA
NPI
1114475233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW69801)
Enumeration Date
2016-09-18
Last Update Date
2017-04-14
Business Address
-- SUMMER RENEE CLARK LCSW
4400 OLDS RD
OXNARD, CA 93033-8061
Phone number: 805-673-3930
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Mailing Address
-- SUMMER RENEE CLARK LCSW
1040 FLYNN RD
CAMARILLO, CA 93012-5092
Phone number: 805-673-3930
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