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1134318140
RICHARD S CLARK
OAKLAND, CA
NPI
1134318140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT79617)
Enumeration Date
2007-10-16
Last Update Date
2019-02-10
Business Address
RICHARD S CLARK LMFT
2801 SUMMIT ST APT 307
OAKLAND, CA 94609-3643
Phone number: 707-380-7648
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Mailing Address
RICHARD S CLARK LMFT
2801 SUMMIT ST APT 307
OAKLAND, CA 94609-3643
Phone number: 707-380-7648
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